Chemokine receptor antagonists and methods of use therefor

ABSTRACT

Disclosed are novel compounds and a method of treating a disease associated with aberrant leukocyte recruitment and/or activation. The method comprises administering to a subject in need an effective amount of a compound represented by:  
                 
 
     and physiologically acceptable salts thereof.

RELATED APPLICATIONS

[0001] This application is a continuation-in-part of U.S. Ser. No. 09/235,102, filed Jan. 21, 1999, which is a continuation-in-part of U.S. Ser. No. 09/148,823, filed Sep. 4, 1998, which is a continuation-in-part of U.S. Ser. No. 09/010,320, filed Jan. 21, 1998, now abandoned; the entire teachings of all above-referenced applications are incorporated herein by reference.

BACKGROUND OF THE INVENTION

[0002] Chemoattractant cytokines or chemokines are a family of proinflammatory mediators that promote recruitment and activation of multiple lineages of leukocytes and lymphocytes. They can be released by many kinds of tissue cells after activation. Continuous release of chemokines at sites of inflammation mediates the ongoing migration of effector cells in chronic inflammation. The chemokines characterized to date are related in primary structure. They share four conserved cysteines, which form disulfide bonds. Based upon this conserved cysteine motif, the family is divided into two main branches, designated as the C—X—C chemokines (α-chemokines), and the C—C chemokines (β-chemokines), in which the first two conserved cysteines are separated by an intervening residue, or adjacent respectively (Baggiolini, M. and Dahinden, C. A., Immunology Today, 15:127-133 (1994)).

[0003] The C—X—C chemokines include a number of potent chemoattractants and activators of neutrophils, such as interleukin 8 (IL-8), PF4 and neutrophil-activating peptide-2 (NAP-2). The C—C chemokines include RANTES (Regulated on Activation, Normal T Expressed and Secreted), the macrophage inflammatory proteins 1α and 1β (MIP-1α and MIP-1β), eotaxin and human monocyte chemotactic proteins 1-3 (MCP-1, MCP-2, MCP-3), which have been characterized as chemoattractants and activators of monocytes or lymphocytes but do not appear to be chemoattractants for neutrophils. Chemokines, such as RANTES and MIP-1α, have been implicated in a wide range of human acute and chronic inflammatory diseases including respiratory diseases, such as asthma and allergic disorders.

[0004] The chemokine receptors are members of a superfamily of G protein-coupled receptors (GPCR) which share structural features that reflect a common mechanism of action of signal transduction (Gerard, C. and Gerard, N. P., Annu Rev. Immunol., 12:775-808 (1994); Gerard, C. and Gerard, N. P., Curr. Opin. Immunol., 6:140-145 (1994)). Conserved features include seven hydrophobic domains spanning the plasma membrane, which are connected by hydrophilic extracellular and intracellular loops. The majority of the primary sequence homology occurs in the hydrophobic transmembrane regions with the hydrophilic regions being more diverse. The first receptor for the C—C chemokines that was cloned and expressed binds the chemokines MIP-1α and RANTES. Accordingly, this MIP-1α/RANTES receptor was designated C—C chemokine receptor 1 (also referred to as CCR-1; Neote, K., et al., Cell, 72:415-425 (1993); Horuk, R. et al., WO 94/11504, May 26, 1994; Gao, J. -I. et al., J. Exp. Med., 177:1421-1427 (1993)). Three receptors have been characterized which bind and/or signal in response to RANTES: CCR3 mediates binding and signaling of chemokines including ectaxin, RANTES, and MCP-3 (Ponath et al., J. Exp. Med., 183:2437 (1996)), CCR4 binds chemokines including RANTES, MIP-la, and MCP-1 (Power, et al., J. Biol. Chem., 270:19495 (1995)), and CCR5 binds chemokines including MIP-1α, RANTES, and MIP-1β (Samson, et al., Biochem. 35: 3362-3367 (1996)). RANTES is a chemotactic chemokine for a variety of cell types, including monocytes, eosinophils, and a subset of T-cells. The responses of these different cells may not all be mediated by the same receptor, and it is possible that the receptors CCR1, CCR4 and CCR5 will show some selectivity in receptor distribution and function between leukocyte types, as has already been shown for CCR3 (Ponath et al.). In particular, the ability of RANTES to induce the directed migration of monocytes and a memory population of circulating T-cells (Schall, T. et al., Nature, 347:669-71 (1990)) suggests this chemokine and its receptor(s) may play a critical role in chronic inflammatory diseases, since these diseases are characterized by destructive infiltrates of T cells and monocytes.

[0005] Many existing drugs have been developed as antagonists of the receptors for biogenic amines, for example, as antagonists of the dopamine and histamine receptors. No successful antagonists have yet been developed to the receptors for the larger proteins such as chemokines and C5a. Small molecule antagonists of the interaction between C—C chemokine receptors and their ligands, including RANTES and MIP-1α, would provide compounds useful for inhibiting harmful inflammatory processes “triggered” by receptor ligand interaction, as well as valuable tools for the investigation of receptor-ligand interactions.

SUMMARY OF THE INVENTION

[0006] It has now been found that a class of small organic molecules are antagonists of chemokine receptor function and can inhibit leukocyte activation and/or recruitment. An antagonist of chemokine receptor function is a molecule which can inhibit the binding and/or activation of one or more chemokines, including C—C chemokines such as RANTES, MIP-1α, MCP-2, MCP-3 and MCP-4 to one or more chemokine receptors on leukocytes and/or other cell types. As a consequence, processes and cellular responses mediated by chemokine receptors can be inhibited with these small organic molecules. Based on this discovery, a method of treating a disease associated with aberrant leukocyte recruitment and/or activation is disclosed as well as a method of treating a disease mediated by chemokine receptor function. The method comprises administering to a subject in need an effective amount of a compound or small organic molecule which is an antagonist of chemokine receptor function. Compounds or small organic molecules which have been identified as antagonists of chemokine receptor function are discussed in detail hereinbelow, and can be used for the manufacture of a medicament for treating or for preventing a disease associated with aberrant leukocyte recruitment and/or activation. The invention also relates to the disclosed compounds and small organic molecules for use in treating or preventing a disease associated with aberrant leukocyte recruitment and/or activation. The invention also includes pharmaceutical compositions comprising one or more of the compounds or small organic molecules which have been identified herein as antagonists of chemokine function and a suitable pharmaceutical carrier. The invention further relates to novel compounds which can be used to treat an individual with a disease associated with aberrant leukocyte recruitment and/or activation and methods for their preparation.

BRIEF DESCRIPTION OF THE DRAWINGS

[0007]FIG. 1 is a schematic showing the preparation of the compounds represented by Structural Formula (I).

[0008]FIG. 2 is a schematic showing the preparation of the compounds represented by Compound (VI-b).

[0009]FIG. 3 is a schematic showing the preparation of the compounds represented by Structural Formula (I)

[0010]FIG. 4 is a schematic showing the preparation of the compounds represented by Structural Formula (I), wherein Z is represented by Structural Formula (III) and wherein Ring A and/or Ring B in Z is substituted with R⁴⁰.

[0011]FIG. 5 is a schematic showing the preparation of the compounds represented by Structural Formula (I), wherein Z is represented by Structural Formula (III) and wherein Ring A and/or Ring B in Z is substituted with —(O)_(u)—(CH₂)_(t)—COOR²⁰, —(O)_(u)—(CH₂)_(t)—OC(O)R²⁰, —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²² or —(O)_(u)—(CH₂)_(t)—NHC(O)O—R²⁰.

[0012] FIGS. 6A-6Z show the structures of exemplary compounds of the present invention.

[0013]FIG. 7 shows the preparation of compounds represented by Structural Formula (I), where in Z is represented by Structural Formulas (III) and wherein Ring A or Ring B in Z is substituted with R⁴⁰.

[0014]FIG. 8A is a schematic showing the preparation of 4-(4-chlorophenyl)-4-fluoropiperidine.

[0015]FIG. 8B is a schematic showing the preparation of 4-4-azido-4-(4-chlorophenyl)piperidine.

[0016]FIG. 8C is a schematic showing the preparation of 4-(4-chlorophenyl)-4-methylpiperidine.

[0017]FIG. 9A is a schematic showing the preparation of compounds represented by Structural Formulas (I), (VIII) and (VIII) wherein R¹ is an amine.

[0018]FIG. 9B is a schematic showing the preparation of compounds represented by Structural Formulas (I), (VIII) and (VIII) wherein R¹ is an alkylamine.

[0019]FIG. 9C is a schematic showing the preparation of 2-(4-chlorophenyl)-1-(N-methyl)ethylamine.

[0020]FIG. 9D is a schematic showing the preparation of 3-(4-chlorophenyl)-3-chloro-1-hydroxypropane.

[0021]FIG. 9E is a schematic showing the preparation of 3-(4-chlorophenyl)-1-N-methylaminopropane.

[0022]FIG. 10A is a schematic showing the preparation of 3-(4-chlorophenyl)-3-hydroxyl-3-methyl-1-N-methylaminopropane.

[0023]FIG. 10B is a schematic showing the preparation of 1-(4-chlorobenzoyl)-1,3-propylenediamine.

[0024]FIG. 10C is a schematic showing three procedures for the preparation of compounds represented by Structural Formulas (I), (VII), (VIII), (IX) and (XI) wherein Z is represented by Structural Formula (III) and wherein Ring A or Ring B in Z is substituted with R⁴⁰ In FIG. 10C, R⁴⁰ is represented by —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²², u is one, t is zero.

[0025]FIG. 10D is a schematic showing the preparation of 4-(4-chlorophenyl)-4-pyridine.

[0026] FIGS. 11A-11K show the structures of exemplary compounds of the present invention.

DETAILED DESCRIPTION OF THE INVENTION

[0027] The present invention relates to small molecule compounds which are modulators of chemokine receptor function. In a preferred embodiment, the small molecule compounds are antagonists of chemokine receptor function. Accordingly, processes or cellular responses mediated by the binding of a chemokine to a receptor can be inhibited (reduced or prevented, in whole or in part), including leukocyte migration, integrin activation, transient increases in the concentration of intracellular free calcium [Ca⁺⁺]₁, and/or granule release of proinflammatory mediators.

[0028] The invention further relates to a method of treatment, including prophylactic and therapeutic treatments, of a disease associated with aberrant leukocyte recruitment and/or activation or mediated by chemokines or chemokine receptor function, including chronic inflammatory disorders characterized by the presence of RANTES, MIP-la, MCP-2, MCP-3 and/or MCP-4 responsive T cells, monocytes and/or eosinophils, including but not limited to diseases such as arthritis (e.g., rheumatoid arthritis), atherosclerosis, arteriosclerosis, restenosis, ischemia/reperfusion injury, diabetes mellitus (e.g., type 1 diabetes mellitus), psoriasis, multiple sclerosis, inflammatory bowel diseases such as ulcerative colitis and Crohn's disease, rejection of transplanted organs and tissues (i.e., acute allograft rejection, chronic allograft rejection), graft versus host disease, as well as allergies and asthma. Other diseases associated with aberrant leukocyte recruitment and/or activation which can be treated (including prophylactic treatments) with the methods disclosed herein are inflammatory diseases associated with Human Immunodeficiency Virus (HIV) infection, e.g., AIDS associated encephalitis, AIDS related maculopapular skin eruption, AIDS related interstitial pneumonia, AIDS related enteropathy, AIDS related periportal hepatic inflammation and AIDS related glomerulo nephritis. The method comprises administering to the subject in need of treatment an effective amount of a compound (i.e., one or more compounds) which inhibits chemokine receptor function, inhibits the binding of a chemokine to leukocytes and/or other cell types, and/or which inhibits leukocyte migration to, and/or activation at, sites of inflammation.

[0029] The invention further relates to methods of antagonizing a chemokine receptor, such as CCR1, in a mammal comprising administering to the mammal a compound as described herein.

[0030] According to the method, chemokine-mediated chemotaxis and/or activation of pro-inflammatory cells bearing receptors for chemokines can be inhibited. As used herein, “pro-inflammatory cells” includes but is not limited to leukocytes, since chemokine receptors can be expressed on other cell types, such as neurons and epithelial cells.

[0031] While not wishing to be bound by any particular theory or mechanism, it is believed that compounds of the invention are antagonists of the chemokine receptor CCR1, and that therapeutic benefits derived from the method of the invention are the result of antagonism of CCR1 function. Thus, the method and compounds of the invention can be used to treat a medical condition involving cells which express CCR1 on their surface and which respond to signals transduced through CCR1, as well as the specific conditions recited above.

[0032] In one embodiment, the antagonist of chemokine receptor function is represented by Structural Formula (I):

[0033] and physiologically acceptable salts thereof.

[0034] Z is a cycloalkyl or non-aromatic heterocyclic ring group fused to one, two or more aromatic rings, wherein each ring in Z is independently substituted or unsubstituted.

[0035] n is an integer, such as an integer from one to about four. Preferably, n is one, two or three. More preferably n is two. In alternative embodiments, other aliphatic or aromatic spacer groups (L) can be employed for (CH₂)_(n).

[0036] M is >NR² or >CR¹R². M is preferably >C(OH)R².

[0037] R¹ is —H, —OH, —N₃, a halogen, an aliphatic group, a substituted aliphatic group, an aminoalkyl group, —O-(aliphatic group), —O-(substituted aliphatic group), —SH, —S-(aliphatic group), —S-(substituted aliphatic group), —OC(O)-(aliphatic group), —O—C(O)-(substituted aliphatic group), —C(O)O-(aliphatic group), —C(O)O-(substituted aliphatic group), —COOH, —CN, —CO-NR³R⁴, —NR⁴; or R¹ can be a covalent bond between the ring atom at M and an adjacent carbon atom in the ring which contains M. R¹ is preferably —H or —OH.

[0038] R is —H, —OH, an acyl group, a substituted acyl group, —NR⁵R⁶, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group, a substituted non-aromatic heterocyclic group, —O-(substituted or unsubstituted aromatic group) or —O-(substituted or unsubstituted aliphatic group). R² is preferably an aromatic group or a substituted aromatic group.

[0039] R³, R⁴, R⁵ and R⁶ are independently —H, an acyl group, a substituted acyl group, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group or a substituted non-aromatic heterocyclic group.

[0040] R¹ and R², R³ and R⁴, or R⁵ and R⁶ taken together with the atom to which they are bonded, can alternatively form a substituted or unsubstituted non-aromatic carbocyclic or heterocyclic ring.

[0041] In embodiments where M is >CR¹R² and R¹ is a covalent bond between the carbon atom at M and an adjacent carbon atom in the ring which contains M, the antagonist of chemokine function can be represented by Structural Formula (Ia).

[0042] Z, n and R² are as described in Structural Formula (I).

[0043] In one preferred embodiment, Z is a tricyclic ring system comprising two carbocyclic aromatic groups fused to a five, six, seven or eight membered cycloalkyl group or to a non-aromatic heterocyclic ring. In one example, Z is represented by Structural Formula (II):

[0044] The phenyl rings in Structural Formula (II), labeled with an “A” and “B”, are referred to herein as “Ring A” and “Ring B”, respectively. The central ring, labeled with a “C”, is referred to as “Ring C” and can be, for example, a five, six, seven or eight membered non-aromatic carbocyclic ring (e.g., a cycloheptane or cyclooctane ring) or a non-aromatic heterocyclic ring. When Ring C is a non-aromatic heterocyclic ring, it can contain one or two heteroatoms such as nitrogen, sulfur or oxygen. In particular embodiments, Ring c is When Z is represented by Structural Formula (II), the tricyclic ring system can be connected to the remainder of the molecule by a covalent double bond between a carbon atom in Ring C and the carbon atom which, as depicted in Structural Formula (I), is bonded to Z.

[0045] Ring A and/or Ring B in Structural Formula (II) can be unsubstituted. Alternatively, Ring A and/or Ring B can have one or more substituents. Suitable substituents are as described hereinbelow. In one example, Ring A or Ring B is substituted with —(O)_(u)—(CH₂)_(t)—C(O)OR², —(O)_(u)—(CH₂)_(t)—OC(O)R²⁰, —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²² or —(O)_(u)—(CH₂)_(t)—NHC(O)O—R²⁰.

[0046] u is zero or one.

[0047] t is an integer, such as an integer from zero to about three, and the methylene group —(CH₂)_(t)— can be substituted, as described herein for aliphatic groups, or unsubstituted.

[0048] R²⁰, R²¹ or R²² are independently —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group or a non-aromatic heterocyclic group. Alternatively, R²¹ and R²², taken together with the nitrogen atom to which they are bonded, can form a non-aromatic heterocyclic ring.

[0049] Ring C optionally contains one or more substituents, as described hereinbelow.

[0050] Examples of suitable tricyclic ring systems, Z, are provided by Structural Formula (III):

[0051] Ring A and Ring B in Structural Formula (III) are as described for Structural Formula (II).

[0052] X₁ is a bond, —O—, —S—, —CH₂—, —CH₂—CH₂—, —CH₂—S—, —S—CH₂—, —O—CH₂—, —CH₂—O—, —NR_(c)—CH₂—, —CH₂—NR_(c)—, —SO—CH₂—, —CH₂—SO—, —S(O)₂—CH₂—, —CH₂—S(O)₂—, —CH═CH—, —NR_(c)—CO— or —CO—NR_(c)—. Preferably X₁ is —CH₂—O—, —CH₂—CH₂—, —CH₂—S—, —Nr_(c)—CO— or —CO—NR_(c)—.

[0053] R_(c) is hydrogen, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group or a substituted benzyl group.

[0054] In one example, R_(c) is —(CH₂)_(s)—COOR³⁰, —(CH₂)_(s)—C(O)—NR³¹R³² or —(CH₂)_(s)—NHC(O)—O—R³⁰, wherein s is an integer, such as an integer from one to about three;

[0055] R³⁰, R³¹ and R³² are independently —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group or a non-aromatic heterocyclic group. Alternatively, R³¹ and R³², taken together with the nitrogen atom to which they are bonded, form a non-aromatic heterocyclic ring.

[0056] Other examples of suitable tricyclic ring systems for Z include benzodiazepines, benzooxazepines, benzooxazines, phenothiazines and groups represented by the following structural formulas:

[0057] In another preferred embodiment, Z is a tricyclic ring system comprising two aromatic groups fused to a seven or eight membered cycloalkyl group or to a non-aromatic heterocyclic ring, wherein at least one of the aromatic groups is a heteroaryl group. In one example, Z is represented by Structural Formula (IV):

[0058] Ring A in Structural Formula (IV) can be a substituted or unsubstituted heteroaryl group. Ring B in Structural Formula (IV) can be a substituted or unsubstituted aromatic group, e.g., a heteroaryl group or carbocyclic aryl group. Suitable substituents are as described hereinbelow. In one example, Ring A and/or Ring B is substituted with —(O)_(u)—(CH₂)_(t)—C(O)OR², —(O)_(u)—(CH₂)_(t)—OC(O)R²⁰, —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²² or —(O)_(u)—(CH₂)_(t)—NHC(O)O—R²⁰ as described above. u, t, R²⁰, R²¹, and R²² are as described above. X₁ and R_(c) can be as described above for Structural Formula (III).

[0059] In another embodiment of the present invention Z is represented by Structural Formula (IV), wherein Ring A is a pyridyl group and Ring B is an aromatic or heteroaromatic group. In one example, Z is represented by Structural Formula (IVa):

[0060] In this embodiment Ring A and Ring B are independently substituted or unsubstituted, and Ring B is preferably a phenyl group. X₁ and R_(c) can be as described above for Structural Formula (III).

[0061] In another embodiment, both Ring A and Ring B are pyridyl groups, and Z is represented by Structural Formula (Ivb):

[0062] Ring A and Ring B can be independently substituted or unsubstituted as described above in Structural Formula (II), and X₁ can be as described above for Structural Formula (III).

[0063] In another embodiment of the present invention Z is represented by Structural Formula (V):

[0064] Ring A and Ring B can be independently substituted or unsubstituted as described above in Structural Formula (II), and X₁ can be as described above for Structural Formula (III).

[0065] In a preferred embodiment, Ring B in Structural Formula (V) is substituted para to the carbon atom of Ring B which is bonded to X₁ of Ring C, and Z is represented by Structural Formula (VI):

[0066] X₁ can be as described above in Structural Formula (II). Preferably X₁ is —CH₂—O—, —CH₂—CH₂— or —CH₂—S—.

[0067] R⁴⁰ is a substituent as described hereinbelow for aromatic groups. In one embodiment, R⁴⁰ is —OH, —COOH, a halogen, —NO₂, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, —NR²⁴R²⁵, —CONR²⁴R²⁵ ₇—Q-(aliphatic group), —Q-(substituted aliphatic group), —O-(aliphatic group), —O-(substituted aliphatic group), —O-(aromatic group), —O-(substituted aromatic group), an electron withdrawing group, —(O)_(u)—(CH₂)_(t)—C(O)OR²⁰, —(O)_(u)—(CH₂)_(t)—OC(O)R²⁰, —(O)_(u)—(CH₂)—C(O)—NR²¹R²² or —(O)_(u)—(CH₂)_(t)—NHC(O)O-R²⁰. Q, R²⁰, R²¹, R²², R²⁴, R²⁵ u and t are as described herein.

[0068] Preferably R⁴⁰ is an aliphatic group, substituted aliphatic group, —O-(aliphatic group) or —O-(substituted aliphatic group). More preferably R⁴⁰ is an —O-alkyl, such as —O—CH₃, —O—C₂H₅, —O—C₃H₇ or —O—C₄H₉.

[0069] In another embodiment, R⁴⁰ can be represented by —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²², wherein u is one, t is zero, and R²¹ and R²² are as described herein. In this embodiment, R²¹ and R²² can each independently be —H, a substituted or unsubstituted aliphatic group, a substituted or unsubstituted aromatic group, or R²¹ and R²² taken together with the nitrogen atom to which they are bonded form a nonaromatic heterocyclic ring (e.g., pyrrolidine, piperidine, morpholine).

[0070] In another embodiment, R⁴⁰ can be represented by —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²², wherein u is zero, t is one to about three, and R²¹ and R²² are as described herein.

[0071] In another embodiment, R⁴⁰ can be represented by —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²², wherein both u and t are zero, and R²¹ and R²² are as described herein.

[0072] In another embodiment, R⁴⁰ is an aliphatic group (e.g., methyl, ethyl, propyl) that is substituted with —NR²⁴R²⁵ or —CONR²⁴R²⁵, wherein R²⁴ and R²⁵ are as described herein. For example, R⁴⁰ can be represented by

[0073] In a preferred embodiment, the chemokine receptor antagonist can be represented by Structural Formula I wherein n is three, M is C(OH)R², R² is a phenyl group or a halophenyl group (e.g., 4-chlorophenyl) and Z is represented by Structural Formula (VI) wherein X₁ is —CH₂—O—. In one example of this embodiment, R⁴⁰ can be —O-(substituted aliphatic group), such as

[0074] In another example, R⁴⁰ can be —COOH.

[0075] In another embodiment, the antagonist of chemokine activity can be represented by Structural Formula (VII):

[0076] and physiologically acceptable salts thereof.

[0077] n is as described in Structural Formula (I). Z is as described herein, preferably as described in Structural Formula (V) or (VI).

[0078] M is >NR², >CR¹R², —O—CR¹R²—O— or —CH₂—CR¹R²—O—.

[0079] R¹ and R² are as described in Structural Formula (I).

[0080] q¹ is an integer, such as an integer from zero to about three, and q² is an integer from zero to about one. The ring containing M can be substituted or unsubstituted.

[0081] Thus, the antagonist of chemokine function can be represent by, for example, Structural Formulas (VIIa)-(VIIk):

[0082] and physiologically acceptable salts thereof, wherein Z, n and M are as described in Structural Formula (VII), and the ring which contains M is substituted or unsubstituted. The ring containing M can have one or more suitable substituents which are the same or different. Suitable substituents for the ring which contains M and other nonaromatic heterocyclic rings are as described herein. For example, the ring containing M can be substituted with a methyl, ethyl, propyl, butyl or oxo group.

[0083] The nitrogen atom in the ring containing M can be a tertiary nitrogen as depicted in Structural Formula (IV), or the nitrogen atom can be quaternized with a suitable substituent, such as a C₁ to about C₆ or a C₁ to about C₃ substituted or unsubstituted aliphatic group. Compounds which comprise a quaternary nitrogen atom can also contain a counteranion such as chloride, bromide, iodide, acetate, perchlorate and the like.

[0084] The antagonist of chemokine function can be represented by Structural Formula (VII) wherein the heterocyclic ring containing M is substituted with a suitable bivalent group which is bonded to two atoms that are in the ring, thereby forming a bicyclic moiety. Suitable bivalent groups include, for example, substituted or unsubstituted bivalent aliphatic groups, such as a C₁-C₆ alkylene group.

[0085] The antagonist of chemokine receptor function can comprise a variety of bicyclic moieties. In one embodiment, the antagonist of chemokine receptor function can be represented by Structural Formula (VIII):

[0086] and physiologically acceptable salts thereof.

[0087] M is >NR², >CR¹R², —O—CR¹R²—O— or —CH₂—CR¹R²—O—. Preferably, M is >NR² or >CR¹R². R¹ and R² are as described in Structural Formula (I), and n and Z are as described in structural Formula (VII).

[0088] In another embodiment, the antagonist of chemokine receptor function is represented by Structural Formula

[0089] and physiologically acceptable salts thereof.

[0090] Z is as described herein, preferably as described in Structural Formula (V) or (VI).

[0091] n is an integer, such as an integer from one to about four. Preferably, n is one, two or three. More preferably n is two. In alternative embodiments, other aliphatic or aromatic spacer groups (L) can be employed for (CH₂)_(n).

[0092] R⁵⁰ and R⁵¹ are each independently —H, an aliphatic group, a substituted aliphatic group, an aminoalkyl group, —NR³R⁴, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group, a substituted non-aromatic heterocyclic group or a covalent bond between the nitrogen atom an adjacent carbon atom.

[0093] R³ and R⁴ are independently —H, an acyl group, a substituted acyl group, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group or a substituted non-aromatic heterocyclic group.

[0094] R³ and R⁴ taken together with the atom to which they are bonded, can alternatively form a substituted or unsubstituted non-aromatic carbocyclic or heterocyclic ring.

[0095] In a preferred embodiment R⁵⁰ is a substituted aliphatic group, such as a substituted C₁ to about C₁₂ alkyl group, and R⁵¹ is —H or a substitited or unsubstituted aliphatic group. More preferably, R⁵⁰ is a substituted linear or branched C₂ to about C₇ aliphatic group wherein one or more carbon atoms can be replaced by a heteroatom, such as nitrogen, oxygen or sulfur, and R⁵¹ is —H or a linear or branched C₁ to about C₆ or a C₁ to about C₃ aliphatic group wherein one or more carbon atoms can be replaced by a heteroatom. R⁵⁰ and R⁵¹ can be substituted with one or more suitable substituents, as described herein, Preferably an aromatic group(e.g., phenyl, 4-halophenyl). For example, R⁵⁰ can be selected from the group consisting of:

[0096] The activity of chemokine receptor antagonists represented by Structural Formula IX can be affected by the character of the nitrogen atom to which R⁵⁰ and R⁵¹ are bonded. It is believed that compounds in which said nitrogen atom is basic can have potent chemokine receptor antagonist activity. It is known that the basicity of a nitrogen atom can be decreased when the nitrogen atom is bonded to a carbonyl group, sulfonyl group or a sulfinyl group. Therefore, it is preferred that neither R⁵⁰ nor R⁵¹ comprise a carbonyl group, sulfonyl group or sulfinyl group that is directly bonded to the nitrogen atom.

[0097] In another aspect, the antagonist of chemokine receptor function is represented by Structural Formula (X):

[0098] and physiologically acceptable salts thereof.

[0099] Z is a cycloalkyl or non-aromatic heterocyclic ring group fused to one, two or more aromatic rings, wherein each ring in Z is independently substituted or unsubstituted. Preferably, Z is as described in Structural Formula (VI).

[0100] n is an integer, such as an integer from one to about four. Preferably, n is one, two or three. More preferably n is two. In alternative embodiments, other aliphatic or aromatic spacer groups (L) can be employed for (CH₂)_(n).

[0101] M is >NR² or >CR².

[0102] R² is —H, —OH, an acyl group, a substituted acyl group, —NR⁵R⁶, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group, a substituted non-aromatic heterocyclic group, —O-(substituted or unsubstituted aromatic group) or —O-(substituted or unsubstituted aliphatic group). R² is preferably an aromatic group or a substituted aromatic group.

[0103] R⁵ and R⁶ are independently —H, an acyl group, a substituted acyl group, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group or a substituted non-aromatic heterocyclic group.

[0104] R⁵ and R⁶ taken together with the atom to which they are bonded, can alternatively form a substituted or unsubstituted non-aromatic carbocyclic or heterocyclic ring.

[0105] X⁻ is a physiologically acceptable anion. Preferably, X⁻ is Cl⁻ or Br⁻.

[0106] The chemokine receptor antagonist described herein can be prepared and administered as active compounds or as prodrugs. Generally, prodrugs are analogues of pharmaceutical agents which can undergo chemical conversion by metabolic processes to become fully active. For example, A prodrug of the invention can be prepared by selecting appropriate groups for R⁴⁰. In one embodiment, a prodrug can be represented by Structural Formula (XI):

[0107] wherein, R⁴⁰ is Q-substituted aliphatic group, and the aliphatic group is substituted with —(O)_(u)—(CH₂)_(t)—C(O)OR²⁰, wherein Q is —C(O)O—, u is one, t is zero and R²⁰ is a cyclic aliphatic group. For example, when the substituted aliphatic group is a substituted ethyl group, R⁴⁰ can be represented by:

[0108] Such a prodrug can be converted to an active chemokine receptor antagonist represented by Structural Formula (XI, wherein R⁴⁰ is —COOH.

[0109] Another embodiment of the present invention includes novel compounds employed in these methods.

[0110] The compounds disclosed herein can be obtained as E- and Z-configurational isomers. It is expressly pointed out that the invention includes compounds of the E-configuration and the Z-configuration around the double bond connecting Ring C of Z to the remainder of the molecule, and a method of treating a subject with compounds of the E-configuration, the Z-configuration, and mixtures thereof. Accordingly, in the structural formulas presented herein, the symbol:

[0111] is used to represent both the E-configuration and the Z-configuration. Preferably Ring A and the alkylene chain bonded to Ring C are in the cis configuration. For example, the compounds can have the configuration of:

[0112] It is understood that one configuration can have greater activity than another. The desired configuration can be determined by screening for activity, employing the methods described herein.

[0113] Additionally, certain compounds of the invention may be obtained as different sterioisomers (e.g., diastereomers and enantiomers). It is pointed out that the invention includes all isomeric forms and racemic mixtures of the disclosed compounds and a method of treating a subject with both pure isomers and mixtures thereof, including racemic mixtures. Again, it is understood that one sterioisomer may be more active than another. The desired isomer can be determined by screening.

[0114] Also included in the present invention are physiologically acceptable salts of the compounds represented by Structural Formulas (I) through (XI). Salts of compounds containing an amine or other basic group can be obtained, for example, by reacting with a suitable organic or inorganic acid, such as hydrogen chloride, hydrogen bromide, acetic acid, citric acid, perchloric acid and the like. Compounds with a quaternary ammonium group also contain a counteranion such as chloride, bromide, iodide, acetate, perchlorate and the like. Salts of compounds containing a carboxylic acid or other acidic functional group can be prepared by reacting with a suitable base, for example, a hydroxide base. Salts of acidic functional groups contain a countercation such as sodium, potassium, ammonium, calcium and the like.

[0115] As used herein, aliphatic groups include straight chained, branched or cyclic C₁-C₂₀ hydrocarbons which are completely saturated or which contain one or more units of unsaturation. Preferred aliphatic groups are C₁ to about C₁₀ hydrocarbons. More preferred are C₁ to about C₆ or C₁ to about C₃ hydrocarbons. One or more carbon atoms in an aliphatic group can be replaced with a heteroatom, such as nitrogen, oxygen or sulfur. For example, suitable aliphatic groups include substituted or unsubstituted linear, branched or cyclic C₁-C₂₀ alkyl, alkenyl or alkynyl groups.

[0116] An aminoalkyl group is an alkyl group substituted with —NR²⁴R²⁵, R²⁴ and R²⁵ are as described herein. Preferably the alkyl moiety comprises one to about twelve, more preferably one to about six carbon atoms. The alkyl moiety of an aminoalkyl group can be unsubstituted or substituted as described herein for aliphatic groups. Examples of suitable aminoalkyl groups include aminomethyl, 2-aminoethyl, 3-aminopropyl, 4-aminobutyl, dimethylaminoethyl, diethylaminomethyl, methylaminohexyl, aminoethylenyl and the like.

[0117] Aromatic groups include carbocyclic aromatic groups such as phenyl, 1-naphthyl, 2-naphthyl, 1-anthracyl and 2-anthracyl, and heterocyclic aromatic or heteroaryl groups such as N-imidazolyl, 2-imidazolyl, 4-imidazolyl, 5-imidazolyl, 2-thienyl, 3-thienyl, 2-furanyl, 3-furanyl, 2-pyrrolyl, 3-pyrrolyl, 2-pyridyl, 3-pyridyl, 4-pyridyl, 2-pyrimidyl, 4-pyrimidyl, 5-pyrimidyl, 3-pyridazinyl, 4-pyridazinyl, 3-pyrazolyl, 4-pyrazolyl, 5-pyrazolyl, 2-pyrazinyl, 2-thiazolyl, 4-thiazolyl, 5-thiazolyl, 5-tetrazolyl, 2-oxazolyl, 4-oxazolyl and 5-oxazolyl. Where these rings are fused, for example, to Ring C, the stated point of attachment can be either of the two fused bonds.

[0118] Aromatic groups also include fused polycyclic aromatic ring systems in which a carbocyclic aromatic ring or heteroaryl ring is fused to one or more other rings. Examples include tetrahydronaphthyl, 2-benzothienyl, 3-benzothienyl, 2-benzofuranyl, 3-benzofuranyl, 2-indolyl, 3-indolyl, 2-quinolinyl, 3-quinolinyl, 2-benzothiazolyl, 2-benzooxazolyl, 2-benzimidazolyl, 2-quinolinyl, 3-quinolinyl, 1-isoquinolinyl, 3-quinolinyl, 1-isoindolyl, 3-isoindolyl, acridinyl, 3-benzisoxazolyl, and the like. Also included within the scope of the term “aromatic group”, as it is used herein, is a group in which one or more carbocyclic aromatic rings and/or heteroaryl rings are fused to a cycloalkyl or non-aromatic heterocyclic ring, for example, benzocyclopentane, benzocyclohexane.

[0119] Non-aromatic heterocyclic rings are non-aromatic carbocyclic rings which include one or more heteroatoms such as nitrogen, oxygen or sulfur in the ring. The ring can be five, six, seven or eight-membered and/or fused to another ring, such as a cycloalkyl on aromatic ring. Examples include 1,3-dioxolan-2-yl, 3-1H-benzimidazol-2-one, 3-1-alkyl-benzimidazol-2-one, 3-1-methyl-benzimidazol-2-one, 2-tetrahydrofuranyl, 3-tetrahydrofuranyl, 2-tetrahyrothiophenyl, 3-tetrahyrothiophenyl, 2-morpholino, 3-morpholino, 4-morpholino, 2-thiomorpholino, 3-thiomorpholino, 4-thiomorpholino, 1-pyrrolidinyl, 2-pyrrolidinyl, 3-pyrrolidinyl, 1-piperazinyl, 2-piperazinyl, 1-piperidinyl, 2-piperidinyl, 3-piperidinyl, 4-piperidinyl, 4-thiazolidinyl, diazolonyl, N-substituted diazolonyl, 1-phthalimidyl, 1-3-alkyl-phthalimidyl, benzoxane, benzopyrolidine, benzopiperidine, benzoxolane, benzothiolane, benzothiane,

[0120] Suitable substituents on an aliphatic group, aromatic group (carbocyclic and heteroaryl), non-aromatic heterocyclic ring or benzyl group include, for example, an electron withdrawing group, a halogen, azido, —CN, —COOH, —OH, —CONR²⁴R²⁵, —NR²⁴R²⁵, —OS(O)₂NR²⁴R²⁵, —S(O)₂NR²⁴R²⁵, —SO₃H, —S(O)₂NH₂, guanidino, —(O)_(u)—(CH₂)_(t)—C(O)OR²⁰, —(O)_(u)—(CH₂)_(t)—OC(O)R²⁰, —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²², —(O)_(u)—(CH₂)_(t)—NHC(O)O—R²⁰, —Q—H, —Q-(aliphatic group), —Q-(substituted aliphatic group), —Q-(aryl), —Q-(aromatic group), —Q-(substituted aromatic group), —Q-(CH₂)_(p)-(substituted or unsubstituted aromatic group) p is an integer from 1-5), —Q-(non-aromatic heterocyclic group) or —Q—(CH₂)_(p)— (non-aromatic heterocyclic group).

[0121] R²⁰, R²¹ and R²² are independently —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a non-aromatic heterocyclic group, —NHC(O)—O— (aliphatic group), —NHC(O)—O— (aromatic group) or —NHC(O)—O-(non-aromatic heterocyclic group) and wherein R²¹ and R²², taken together with the nitrogen atom to which they are bonded, can form a non-aromatic heterocyclic ring.

[0122] t is an integer from zero to about three, and the methylene group, —(CH₂)_(t)—, can be substituted, as described herein for aliphatic groups, or unsubstituted.

[0123] u is zero or one.

[0124] Q is —O—, —S—, —S(O)—, —S(O)₂—, —OS(O)₂—, —C(O)—, —OC(O)—, —C(O)O—, —C(O)C(O)—O—, —O—C(O)C(O)—, —C(O)NH—, —NHC(O)—, —OC(O)NH—, —NHC(O)O—, —NH—C(O)—NH—, —S(O)₂NH—, —NHS(O)₂—, —N(R²³)—, —C(NR²³)NHNH—, —NHNHC(NR²³)—, —NR²⁴C(O)— or —NR²⁴S(O)₂

[0125] R²³ is —H, an aliphatic group, a benzyl group, an aryl group or non-aromatic heterocyclic group.

[0126] R²⁴ and R²⁵ are independently —H, —OH, an aliphatic group, a substituted aliphatic group, a benzyl group, an aryl group, non-aromatic heterocyclic group or R²⁴ and R²⁵ taken together with the nitrogen atom to which they are bonded can form a substituted or unsubstituted non-aromatic heterocyclic ring.

[0127] A substituted non-aromatic heterocyclic ring, benzyl group or aromatic group can also have an aromatic group, an aliphatic or substituted aliphatic group, as a substituent. When a non-aromatic ring (carbocyclic or heterocyclic) or an aromatic ring (carbocyclic aromatic or heteroaryl) is substituted with another ring, the two rings can be fused. A substituted aliphatic group can also have an oxo group, epoxy group, non-aromatic heterocyclic ring, benzyl group, substituted benzyl group, aromatic group or substituted aromatic group as a substituent. A substituted non-aromatic heterocyclic ring can also have ═O, ═S, ═NH or ═N(aliphatic, aromatic or substituted aromatic group) as a substituent. A substituted aliphatic, substituted aromatic, substituted non-aromatic heterocyclic ring or substituted benzyl group can have more than one substituent, which can be the same or different.

[0128] Acyl groups include substituted and unsubstituted aliphatic carbonyl, aromatic carbonyl, aliphatic sulfonyl and aromatic sulfonyl.

[0129] Suitable electron withdrawing groups include, for example, alkylimines, alkylsulfonyl, carboxamido, carboxylic alkyl esters, —CH═NH, —CN, —NO₂ and halogens.

[0130] In the structural formulas depicted herein, the single or double bond by which a chemical group or moiety is connected to the remainder of the molecule or compound is indicated by the following symbol:

[0131] For example, the corresponding symbol in Structural Formulas (II), (III) and (IV) indicates the double bond by which the central ring of the tricyclic ring system is connected to the remainder of the molecule represented by Structural Formula (I).

[0132] A “subject” is preferably a bird or mammal, such as a human, but can also be an animal in need of veterinary treatment, e.g., domestic animals (e.g., dogs, cats, and the like), farm animals (e.g., cows, sheep, fowl, pigs, horses, and the like) and laboratory animals (e.g., rats, mice, guinea pigs, and the like).

[0133] An “effective amount” of a compound is an amount which results in the inhibition of one or more processes mediated by the binding of a chemokine to a receptor in a subject with a disease associated with aberrant leukocyte recruitment and/or activation. Examples of such processes include leukocyte migration, integrin activation, transient increases in the concentration of intracellular free calcium [Ca²⁺]_(i) and granule release of proinflammatory mediators. Alternatively, an “effective amount” of a compound is a quantity sufficient to achieve a desired therapeutic and/or prophylactic effect, such as an amount which results in the prevention of or a decrease in the symptoms associated with a disease associated with aberrant leukocyte recruitment and/or activation.

[0134] The amount of compound administered to the individual will depend on the type and severity of the disease and on the characteristics of the individual, such as general health, age, sex, body weight and tolerance to drugs. It will also depend on the degree, severity and type of disease. The skilled artisan will be able to determine appropriate dosages depending on these and other factors. Typically, an effective amount of the compound can range from about 0.1 mg per day to about 100 mg per day for an adult. Preferably, the dosage ranges from about 1 mg per day to about 100 mg per day. An antagonist of chemokine receptor function can also be administered in combination with one or more additional therapeutic agents, e.g. theophylline, β-adrenergic bronchodilators, corticosteroids, antihistamines, antiallergic agents, immunosuppressive agents (e.g., cyclosporin A, FK-506, prednisone, methylprednisolone) and the like.

[0135] The compound can be administered by any suitable route, including, for example, orally in capsules, suspensions or tablets or by parenteral administration. Parenteral administration can include, for example, systemic administration, such as by intramuscular, intravenous, subcutaneous, or intraperitoneal injection. The compound can also be administered orally (e.g., dietary), transdermally, topically, by inhalation (e.g., intrabronchial, intranasal, oral inhalation or intranasal drops), or rectally, depending on the disease or condition to be treated. Oral or parenteral administration are preferred modes of administration.

[0136] The compound can be administered to the individual in conjunction with an acceptable pharmaceutical or physiological carrier as part of a pharmaceutical composition for treatment of HIV infection, inflammatory disease, or the other diseases discussed above. Formulation of a compound to be administered will vary according to the route of administration selected (e.g., solution, emulsion, capsule). Suitable carriers may contain inert ingredients which do not interact with the compound. Standard pharmaceutical formulation techniques can be employed, such as those described in Remington's Pharmaceutical Sciences, Mack Publishing Company, Easton, Pa. Suitable carriers for parenteral administration include, for example, sterile water, physiological saline, bacteriostatic saline (saline containing about 0.9% mg/ml benzyl alcohol), phosphate-buffered saline, Hank's solution, Ringer's-lactate and the like. Methods for encapsulating compositions (such as in a coating of hard gelatin or cyclodextran) are known in the art (Baker, et al., “Controlled Release of Biological Active Agents”, John Wiley and Sons, 1986).

[0137] The activity of compounds of the present invention can be assessed using suitable assays, such as receptor binding assays and chemotaxis assays. For example, as described in the Exemplification Section, small molecule antagonists of RANTES and MIP-1α binding have been identified utilizing THP-1 cells which bind RANTES and chemotax in response to RANTES and MIP-1α as a model for leukocyte chemotaxis. Specifically, a high through-put receptor binding assay, which monitors ¹²⁵I-RANTES and ¹²⁵I-MIP-1α binding to THP-1 cell membranes, was used to identify small molecule antagonists which block binding of RANTES and MIP-1α. Compounds of the present invention can also be identified by virtue of their ability to inhibit the activation steps triggered by binding of a chemokine to its receptor, such as chemotaxis, integrin activation and granule mediator release. They can also be identified by virtue of their ability to block RANTES and MIP-1α mediated HL-60, T-cell, peripheral blood mononuclear cell, and eosinophil chemotactic response.

[0138] The compounds disclosed herein can be prepared accordingly to the schemes shown in FIGS. 1-5 and 7. The schemes are described in greater detail below.

[0139]FIG. 1 shows the preparation of compounds represented by Structural Formula (I). L¹ is PPh₃Cl, PPh₃Br, PPh₃I or (EtO)₂P(O), L² is a suitable leaving group such as halogen, p-toluene sulfonate, mesylate, alkoxy, and phenoxy; Pg is a suitable protecting group such as tetrahydropyranyl; and the other symbols are as defined above.

[0140] In Step 1 of FIG. 1, a Wittig reaction is carried out in a solvent such as ether, or tetrahydrofuran (THF) in the presence of a base such as sodium hydride, n-butyl lithium or lithium diisopropylamide (LDA) at 0° C. up to the reflux temperature for the solvent used for 5 minutes to 72 h. Compounds represented by Formula II in FIG. 1 can be prepared by methods disclosed in JP 61/152673, U.S. Pat. No. 5089496, WO 89/10369, WO 92/20681 and WO 93/02081, the entire teachings of which are incorporated herein by reference.

[0141] In Step 2 of FIG. 1, deprotection is carried out with an acid in a solvent such as methanol at room temperature up to the reflux temperature for the solvent used for 5 minutes to 72 h. Alternatively, a compound of represented by Formula V in FIG. 1 can be prepared directly from step 1 without isolating an intermediate. The reaction mixture obtained after the work up of the reaction described in step 1 can be dissolved in the solvent and reacted with the acid.

[0142] In Step 3 of FIG. 1, the hydroxy group can be converted to a leaving group by known methods. Compounds represented by Formula VI in FIG. 1 can be prepared by methods disclosed in J. Med. Chem., 1992 (35) 2074-2084 and JP 61/152673.

[0143] In Step 4 of FIG. 1, an alkylation reaction is carried out in a solvent such as acetone, methyl ethyl ketone, ethyl acetate, toluene, tetrahydrofuran (THF) or dimethylformamide (DMF) in the presence of a base such as potassium carbonate or sodium hydride and a catalyst such as an alkali metal iodide at room temperature up to the reflux temperature for the solvent used for 5 minutes to 72 h.

[0144]FIG. 2 shows the preparation of compounds represented by Compound (VI-b). In Step 1 of FIG. 2, a Grignard reaction may be carried out in a solvent such as ether, or tetrahydrofuran (THF) at 0° C. up to the reflux temperature for the solvent used for 5 minuets to 72 h. Compound VII is available commercially.

[0145] In Step 2 of FIG. 2, bromination may be carried out with brominate agents such as hydrobromic acid, bromotrimethylsilane or boron tribromide-methyl sulfide complex in a solvent such as acetic acid, dichloromethane or dichloroethane at room temperature up to the reflux temperature for the solvent used for 5 minutes to 72 h.

[0146]FIG. 3 shows the preparation of compounds represented by Structural Formula (I). In FIG. 3, a reductive amination may be carried out with reducing regents such as sodium cyanoborohydride, sodium acetoxyborohydride or sodium borohydride in a solvent such as methanol, ethanol, tetrahydrofuran (THF), dichloromethane or dichloroethane at room temperature up to the reflux temperature for the solvent used for 5 minutes to 72 h.

[0147]FIG. 4 shows the preparation of compounds represented by Structural Formula (I), where in Z is represented by Structural Formulas (III) and wherein Ring A and/or Ring B in Z is substituted with R⁴⁰. In FIG. 4, the alkylation reaction can be carried out in a solvent such as acetone, methyl ethyl ketone, ethyl acetate, toluene, tetrahydrofuran (THF) or dimethylformamide (DMF) in the presence of a base such as potassium carbonate or sodium hydride and a catalyst such as an alkali metal iodide at room temperature up to the reflux temperature for the solvent used for 5 minutes to 72 h.

[0148]FIG. 5 is a schematic showing the preparation of the compounds represented by Structural Formula (I), wherein Z is represented by Structural Formulas (III) and wherein Ring A and/or Ring B in Z is substituted with —(O)_(u)—(CH₂)_(t)—COOR², —(O)_(u)—(CH₂)_(t)—OC(O)R²⁰, —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²² or —(O)_(u)—(CH₂)_(t)—NHC(O)O—R²⁰. In FIG. 5, the hydrolysis reaction may be carried out in a mixture of aqueous alkali metal hydroxide solution and a solvent such as methanol, ethanol, tetrahydrofuran (THF) or dioxane at room temperature up to the reflux temperature for the solvent used for 5 minutes to 72 h. The acylation reaction can be carried out using dicyclohexylcarbodiimide (DCC) or (1-ethyl-3-(3-dimethylaminopropyl)carbodiimide (DEC) in a solvent such as tetrahydrofuran (THF), dimethylformamide (DMF) or methylene chloride in the presence of a base such as pyridine or triethylamine (when necessary) at temperatures of 0 to 100° C. for 5 minutes to 72 h.

[0149]FIG. 7 shows the preparation of compounds represented by Structural Formula (I), wherein Z is represented by Structural Formulas (III) and wherein Ring A or Ring B in Z is substituted with R⁴⁰. L4 is a suitable leaving group such as halogen or trifluoromethylsulfonate.

[0150] In FIG. 7, a palladium coupling reaction such as Stille coupling, Suzuki coupling, Heck reaction, or carboxylation using carbon monoxide may be carried out using a palladium catalyst such as tetrakis(triphenylphosphine)palladium, bis(triphenylphosphine)palladium chloride, and palladium acetate in a solvent such as tetrahydrofuran (THF), 1,4-dioxane, toluene, dimethylformamide (DMF), or dimethylsufoxide (DMSO) in the presence of additive (when necessary) such as triphenylphosphine, 1,1′-bis(diphenylphosphino)ferrocene, triethylamine, sodium bicarbonate, tetraethylammonium chloride, or lithium chloride at room temperature up to the reflux temperature for the solvent used for 5 minutes to 72 h.

[0151]FIG. 10C shows three procedures for the preparation of compounds represented by Structural Formulas (I),(VII), (VIII) and (IX), wherein Z is represented by Structural Formula (III) and wherein Ring A or Ring B in Z is substituted with R In FIG. 10C, R⁴⁰ is represented by —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²², u is one, t is zero.

[0152] In FIG. 10C a compound containing a phenol can be reacted with a carbonate equivalent, such as a carbamoyl chloride (method A), an isocyanate (method B) or an acylimidazole (method C), in the presence of a base such as sodium hydroxide, potassium carbonate or sodium carbonate in a solvent such as dimethylformamide or tetrahydrofuran, at a temperature from 0° C. to reflux temperature for a period of about 5 minutes to about 72 hours.

[0153] Compounds represented by Structural Formula (I), wherein Z is represented by Structural Formulas (III) or (IV), X is —CO—NR_(c)— and R_(c) is —(CH₂)_(s)—COOR³⁰, —(CH₂)_(s)—C(O) —NR³¹R³² or —(CH₂)_(s)—NHC(O)—O—R³⁰, can be prepared by suitable modification of the scheme shown in FIGS. 1-5 and 7. One modification utilizes the starting material shown in FIG. 1, wherein X is —CO—NH—. The amide is then alkylated with L³—(CH₂)_(s)—COOR³, wherein L³is a suitable leaving group, using the alkylation procedures described above. The remainder of the synthesis is as described in FIGS. 1-5 and 7.

[0154] Although FIGS. 1-5 and 7 show the preparation of compounds in which Rings A and B are phenyl rings, analogous compounds with heteroaryl groups for Rings A and B can be prepared by using starting materials with heteroaryl groups in the corresponding positions. These starting materials can be prepared according to methods disclosed in JP 61/152673, U.S. Pat. No. 5,089,496, WO 89/10369, WO 92/20681 and WO 93/02081.

[0155] The invention is illustrated by the following examples which are not intended to be limiting in any way.

Exemplification EXAMPLE 1 4-(4-Chlorophenyl)-1-[3-(10,11-dihydro-5H-dibenzo[a,d]cycloheptene-5-ylidene)propyl]piperidin-4-ol

[0156] To a solution of 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene (described in JP 48-030064)(200 mg) in DMF (10 ml) were added 4-(4-chlorophenyl)-4-hydroxypiperidine (230 mg), potassium carbonate (360 mg), and potassium iodide (50 mg). The mixture was stirred at 70° C. for 24 hours. Water and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with ethyl acetate-hexane (1:1) to give the titled compound (250 mg). ¹H-NMR (CDCl₃) d: 1.65-2.11 (5H,m), 2.32-3.10 (8H,m), 3.22-3.67 (4H,m), 5.87 (1H,t), 7.03-7.44 (12H,m). MS m/z: 444 (M+1).

EXAMPLE 2 4-(4-Chlorophenyl)-1-[3-(6,11-dihydrodibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol

[0157] The titled compound was prepared by following the procedure of Example 1, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with 11-(3-bromopropylidene)-6,11-dihydrodibenz[b,e] oxepine. ¹H-NMR (CDCl₃) d: 1.61-2.16 (5H,m), 2.37-2.80 (8H,m), 5.22 (2H,brs), 5.70 (0.6×1H,t), 6.03 (0.4×1H,t), 6.73-6.90 (2H,m), 7.09-7.45 (10H,m). MS m/z: 446 (M+1)

EXAMPLE 3 Membrane Preparations for Chemokine Binding and Binding Assays

[0158] Membranes were prepared from THP-1 cells (ATCC #TIB202). Cells were harvested by centrifugation, washed twice with PBS (phosphate-buffered saline), and the cell pellets were frozen at −70 to −85° C. The frozen pellet was thawed in ice-cold lysis buffer consisting of 5 mM HEPES (N-2-hydroxyethylpiperazine-N′-2-ethane-sulfonic acid) pH 7.5, 2 mM EDTA (ethylenediaminetetraacetic acid), 5 μg/ml each aprotinin, leupeptin, and chymostatin (protease inhibitors), and 100 μg/ml PMSF (phenyl methane sulfonyl fluoride—also a protease inhibitor), at a concentration of 1 to 5×107 cells/ml. This procedure results in cell lysis. The suspension was mixed well to resuspend all of the frozen cell pellet. Nuclei and cell debris were removed by centrifugation of 400× g for 10 minutes at 4° C. The supernatant was transferred to a fresh tube and the membrane fragments were collected by centrifugation at 25,000× g for 30 minutes at 4° C. The supernatant was aspirated and the pellet was resuspended in freezing buffer consisting of 10 mM HEPES pH 7.5, 300 mM sucrose, 1 μg/ml each aprotinin, leupeptin, and chymostatin, and 10 μg/ml PMSF (approximately 0.1 ml per each 108 cells) All clumps were resolved using a minihomogenizer, and the total protein concentration was determined using a protein assay kit (Bio-Rad, Hercules, Calif., cat #500-0002). The membrane solution was then aliquoted and frozen at −70 to −85° C. until needed.

[0159] Binding Assays utilized the membranes described above. Membrane protein (2 to 20 μg total membrane protein) was incubated with 0.1 to 0.2 nM ¹²⁵I-labeled RANTES or MIP-1α with or without unlabeled competitor (RANTES or MIP-1α) or various concentrations of compounds. The binding reactions were performed in 60 to 100 μl of a binding buffer consisting of 10 mM HEPES pH 7.2, 1 mM CaCl₂, 5 mM MgCl₂, and 0.5% BSA (bovine serum albumin), for 60 min at room temperature. The binding reactions were terminated by harvesting the membranes by rapid filtration through glass fiber filters (GF/B or GF/C, Packard) which were presoaked in 0.3% polyethyleneimine. The filters were rinsed with approximately 600 μl of binding buffer containing 0.5 M NaCl, dried, and the amount of bound radioactivity was determined by scintillation counting in a Topcount beta-plate counter.

[0160] The activities of test compounds are reported in the Table below as IC₅₀ values or the inhibitor concentration required for 50% inhibition of specific binding in receptor binding assays using ¹²⁵I-RANTES or ¹²⁵MIP-1α as ligand and THP-1 cell membranes. Specific binding is defined as the total binding minus the non-specific binding; non-specific binding is the amount of cpm still detected in the presence of excess unlabeled Rantes or ¹²⁵MIP-1α. TABLE BIOLOGICAL DATA Example IC₅₀ (μM) 1 <1 2 <1 8 <1 12 <1 17 <10 18 <1 19 <1 21 <1 22 <1 23 <1 24 <10 25 <1 26 <1 27 <1 28 <1 29 <1 30 <1 31 <1 32 <1 33 <1 34 <1 35 <1 36 <1 38 <1 39 <10 40 <1 41 <1 42 <1 43 <10 44 <1 45 <1 46 <1 47 <1 48 <1 49 <1 51 <1 52 <1 53 <1 54 <1 55 <1 56 <1 57 <10 59 <1 60 <1 61 <10 62 <10 63 <10 64 <1 65 <1 66 <1000 67 <1 68 <10 69 <1 71 <1 72 <10 73 <10 74 <1000 75 <10 76 <10 77 <1 78 <1 79 <1 83 <1000 85 <1 86 >10 89 >10 90 <1 91 <1 111 <1 114 <1 117 <1 118 <1 120 <1 122 <1 123 <1 128 <1 130 <1 131 <1 132 <1 133 <1 134 <1 135 <1 138 <1 139 <1 140 >10 141 <1 142 <10 143 <1 144 <1 145 <10 146 >10 147 <10 148 <10 149 <1000 150 <10 151 <1 152 <1 153 <1 154 <1 155 <1 158 <1 159 <1 160 <1 161 <10 162 <1 163 <1 166 <10 167 >1 168 1 172 <1 173 <1 174 <1 175 <1 176 <1 178 <1 180 <1 181 <1 182 <1 183 <1 184 <10 185 <1000 186 <1 187 <1 188 >10 190 >10 191 >10 192 >10 193 <1 194 <1 195 <10 197 <1 198 <1 199 <1 200 <1 201 <1 203 <1 204 <1 205 <1 211 <1 212 <1 215 <1 216 <1 218 <1 242 <1 248 <10 249 <1 262 <1 263 <1 264 <1 265 <1 266 <1 267 <1 268 <1 269 <1 270 <1 271 <1 272 <1 273 <1 277 <1 278 <1 279 <1 280 <1 281 <1 282 <1 283 <1 284 <1 285 <1 286 <1 287 <1 288 <1 289 <1 290 <1 291 <1 292 <1

EXAMPLE 8 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-dibenz[b,e]thiepin-11-ylidene)propyl]piperidin-4-ol

[0161] Step 1

[0162] 11-(3-Bromopropylidene)-6,11-dihydrodibenz[b,e]thiepine was prepared by following the procedure of example 45, step 1 and 2, but replacing 5,11-dihydro-7-methoxypyrido[2,3-c][1]benzoxepin-5-one with 6,11-dihydrodibenz[b,e]thiepin-11-one.

[0163]¹H-NMR (CDCl₃) d: 2.50-2.64 (2H,m), 3.36-3.47 (3H,m), 4.99 (1H,d), 5.94 (1H,t), 6.98-7.31 (8H,m).

[0164] Step 2

[0165] The titled compound was prepared by following the procedure of example 45, step 3 but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with the product of step 1.

[0166]¹H-NMR (CDCl₃) d: 1.65-1.80 (3H,m), 1.95-2.70 (10H,m), 3.35 (1H,d), 4.98 (1H,d), 5.96 (1H,t), 7.09-7.43 (12H,m).

[0167] MS m/z: 462 (M+1)

EXAMPLE 12 1-[3-(5-Benzyl-6,11-dihydro-6-oxo-5H-dibenz[b,e]azepin-11-ylidene)propyl]-4-(4-chlorophenyl)-piperidin-4-ol

[0168] To a solution 4-(4-chlorophenyl)-1-[3-(6,11-dihydro-6-oxo-5H-dibenz[b,e]azepin-11-ylidene)propyl]piperidin-4-ol hydrochloride (Example 39)(300 mg) in DMF (5 ml) were added sodium hydride (60% in oil, 200 mg), benzyl bromide (0.15 ml) and the mixture was stirred at room temperature for 1 hour. Water and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with ethyl acetate to give the titled compound (180 mg).

[0169]¹H-NMR (CDCl₃) d: 1.62-1.67 (2H,m), 1.99-2.20 (3H,m), 2.33-2.65 (8H,m), 5.10 (1H,d), 5.75 (1H,d), 5.94 (1H,t), 7.11-7.42 (16H,m), 7.91 (1H,dd).

[0170] MS m/z: 549 (M+1)

EXAMPLE 17 1-[3-(5-Carboxymethyl-6,11-dihydro-6-oxo-5H-dibenz[b,e]azepin-11-ylidene)propyl]-4-(4-chlorophenyl)-piperidin-4-ol

[0171] 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-5-ethoxycarbonymetyl-6-oxo-5H-dibenz[b,e]azepin-11-ylidene)propyl]piperidin-4-ol (Example 18)(1.0 g) was solved in 1M hydrogen chloride in diethyl ether and stirred at room temperature for 24 hours. Aqueous sodium hydroxide and ethyl acetate were added to the reaction mixture, the aqueous layer was separated and neutralized with dilute hydrochloric acid. The precipitation was filtered to give the titled compound (250 mg).

[0172]¹H-NMR (DMSO-d₆) d: 1.44-1.61 (2H,m), 2.07-2.17 (1H,m), 2.35-3.01 (9H,m), 4.28 (1H,d), 4.59 (1H,d), 5.83 (1H,t), 7.18-7.71 (12H,m)

[0173] MS m/z: 517 (M+1)

EXAMPLE 18 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-5-ethoxycarbonymetyl-6-oxo-5H-dibenz[b,e]azepin-11-ylidene)propyl]piperidin-4-ol

[0174] The titled compound was prepared by following the procedure of example 1, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with 11-(3-bromopropylidene)-5-ethoxycarbonymetyl-6-oxo-5H-dibenz[b,e]azepine.

[0175]¹H-NMR (CDCl₃) d: 1.30 (3H,t), 1.64-1.69 (2H,m), 1.97-2.10 (3H,m), 2.38-2.71 (8H,m), 4.27 (2H,q), 4.32 (1H,d), 4.84 (1H,d), 5.88 (1H,t), 7.16-7.45 (11H,m), 7.88 (1H,dd).

[0176] MS m/z: 545 (M+1)

EXAMPLE 19 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-5-methyl-6-oxo-5H-dibenz[b,e]azepin-11-ylidene)propyl]piperidin-4-ol

[0177] The titled compound was prepared by following the procedure of Example 1, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with 11-(3-bromopropylidene)-5-methyl-6-oxo-5H-dibenz[b,e]azepin.

[0178]¹H-NMR (CDCl₃) d: 1.58-2.06 (5H,m), 2.39-2.75 (8H,m), 3.53 (3H,s), 5.84 (1H,t), 7.10-7.44 (11H,m), 7.85-7.89 (1H,m).

[0179] MS m/z: 473 (M+1).

EXAMPLE 21 4-(4-Chlorophenyl)-1-[3-(5H-dibenzo[a,d]cycloheptene-5-ylidene)propyl]piperidin-4-ol

[0180] The titled compound was prepared by following the procedure of example 1, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with 5-(3-bromopropylidene)-5H-dibenzo[a,d]cycloheptene.

[0181]¹H-NMR (CDCl₃) d: 1.58-1.63 (2H,m), 2.00-2.05 (2H,m), 2.26-2.46 (6H,m), 2.62-2.66 (2H,m), 5.55 (1H,t), 6.85 (2H,s), 7.24-7.40 (12H,m).

[0182] MS m/z: 442 (M+1).

EXAMPLE 22 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-2-methoxycarbonyldibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol

[0183] The titled compound was prepared by following the procedure of example 1, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with 11-(3-bromopropylidene)-6,11-dihydro-2-methoxy-carbonyldibenz[b,e]oxepine.

[0184]¹H-NMR (CDCl₃) d: 1.65-1.70 (2H,m), 2.01-2.13 (3H,m), 2.41-2.80 (7H,m), 3.85 (3H, s), 5.40 (2H,brs), 5.73 (0.6×1H,t), 6.09 (0.4×1H,t), 6.76 (0.6×1H,d), 6.82 (0.4×1H,d), 7.21-7.43 (8H,m), 7.73 (1H,dd), 7.87 (0.6×1H,d), 7.97 (0.4×1H,d).

[0185] MS m/z: 504 (M+1).

EXAMPLE 23 1-[3-(2-Butoxycarbonyl-6,11-dihydrodibenz[b,e]oxepin-11-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0186] The titled compound was prepared by following the procedure of example 1, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with 11-(3-bromopropylidene)-2-butoxy-6,11-dihydrodibenz[b,e]oxepine.

[0187]¹H-NMR (CDCl₃) d: 0.96 (3H,t), 1.53 (2H,q), 1.70-1.77 (3H,m), 2.02-2.14 (3H,m), 2.39-2.78 (5H,m), 4.27 (2H,t), 5.27 (2H,brs), 5.75 (0.8×1H,t), 6.10 (0.2×1H,t), 6.78 (1H,d), 7.27-7.43 (8H,m), 7.76 (1H,dd), 7.89 (0.8×1H,d), 7.98 (0.2×1H,d).

[0188] MS m/z: 546 (M+1).

EXAMPLE 24 1-[3-(2-Carboxyl-6,11-dihydrodibenz[b,e]oxepin-11-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0189] To a solution of 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-2-methoxycarbonyldibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol (Example 22)(100 mg) in ethanol (3 ml) were added 15% sodiun hydroxide aqueous solution (0.6 ml) and the mixture was heated to reflux for 12 hours. The solvent was distilled off under reduced pressure. Water and ethyl acetate were added to the reaction mixture, the aqueous layer was separated and neutralized with dilute hydrochloric acid. The precipitation was filtered to give the titled compound (80 mg).

[0190]¹H-NMR (CD₃OD) d: 1.73-1.79 (2H,m), 2.14-2.19 (2H,m), 2.80-2.93 (3H,m), 3.02-3.11 (3H,m), 3.24-3.29 (2H,m), 5.25 (2H,brs), 5.61 (0.7×1H,t), 6.05 (0.3×1H,t), 6.72 (1H,d), 7.22-7.40 (8H,m), 7.52-7.65 (1H,m), 7.75 (0.7×1H,d), 7.80 (0.3×1H,d).

[0191] MS m/z: 490 (M+1).

EXAMPLE 25 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-2-dimethylaminocarbonyldibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol

[0192] The titled compound was prepared by following the procedure of example 1, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with 11-(3-bromopropylidene)-2-dimethylaminocarbonyl-6,11-dihydrodibenz[b,e]oxepine.

[0193]¹H-NMR (CDCl₃) d: 1.62-1.67 (2H,m), 2.00-2.12 (2H,m), 2.37-2.47 (8H,m), 2.89 (6H, s), 5.25 (2H,brs), 5.68 (0.7×1H,t), 6.03 (0.3×1H,t), 6.71 (0.3×1H,d), 6.78 (0.7×1H,d), 7.13-7.40 (10H,m).

[0194] MS m/z: 517 (M+1).

EXAMPLE 26 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-2-hydroxymethyldibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol

[0195] To a solution of (4-chlorophenyl)-1-[3-(6,11-dihydromethoxycarbonyldibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol (110 mg) in THF (8 ml) were added lithium aluminum hydride (1.0M, 0.42 ml) dropwise at 0° C., and the mixture was stirred at room temperature for 1 hour. Aqueous sodium hydroxide (1 M) was added to the reaction mixture to stir for 30 minutes, then ethyl acetate and brine was added to the mixture. The organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with dichloromethane-methanol (10:1) to give the titled compound (90 mg).

[0196]¹H-NMR (CDCl₃) d: 1.61-1.66 (2H,m), 1.98-2.03 (2H,m), 2.39-2.48 (3H,m), 2.57-2.79 (6H,m), 4.52 (2H,s), 5.20 (2H,brs), 5.66 (0.8×1H,t), 6.01 (0.2×1H,t), 6.67 (0.2×1H,d), 6.79 (0.8×1H,d), 7.06 (1H,dd), 7.15-7.37 (9H,m).

[0197] MS m/z: 476 (M+1).

EXAMPLE 27 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-2-(1-hydroxy-1-methyl)ethyldibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol

[0198] To a solution of 4-(4-chlorophenyl)-1-[3-(6_(,)11-dihydro-2-methoxycarbonyldibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol (60 mg) in THF (6 ml) were added methylmagnesium chloride (3.0M, 0.16 ml) dropwise at 0° C., and the mixture was stirred at room temperature for 2 hour, the reaction mixture was quenched by saturated ammonium aqueous, then ethyl acetate and water was added to the mixture. The organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with ethyl acetate-methanol (95:5) to give the titled compound (20 mg).

[0199]¹H-NMR (CDCl₃) d: 1.54 (0.7×6H,s), 1.62 (0.3×6H,s), 1.63-1.70 (2H,m), 2.03-2.10 (3H,m), 2.38-2.49 (3H,m), 2.62-2.82 (4H,m), 5.17 (2H,brs), 5.68 (0.7×1H,t), 6.05 (0.3×1H,t), 6.75 (0.3×1H,d), 6.83 (0.7×1H,d), 7.18-7.43 (10H,m).

[0200] MS m/z: 504 (M+1).

EXAMPLE 28 4-(4-Chlorophenyl)-1-[3-(2-cyano-6,11-dihydrodibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol

[0201] The titled compound was prepared by following the procedure of example 1, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with 11-(3-bromopropylidene)-2-cyano-6,11-dihydrodibenz[b,e]oxepine.

[0202]¹H-NMR (CDCl₃) d: 1.67-1.72 (2H,m), 2.02-2.13 (2H,m), 2.37-2.77 (8H,m), 5.35 (2H,brs), 5.75 (0.7×1H,t), 6.07 (0.3×1H,t), 6.78 (0.3×1H,d), 6.82 (0.7×1H,d), 7.25-7.51 (10H,m).

[0203] MS m/z: 471 (M+1).

EXAMPLE 29 1-[3-(2-Aminomethyl-6,11-dihydrodibenz[b,e]oxepin-11-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0204] To a solution of 4-(4-chlorophenyl)-1-[3-(2-cyano-6,11-dihydrodibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol (380 mg) in EtOH (20 ml) were added Raney nickel (50% slurry in water, 60 mg), and the mixture was hydrogenated at 15 psi for 2 hours. The mixture was filtered through the celite and distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with dichloromethane-methanol-aqueous ammonium (95:5:1) to give the titled compound (130 mg).

[0205]¹H-NMR (CDCl₃) d: 1.76-1.94 (3H,m) 2.18-2.34 (2H,m) 2.85-3.10 (8H,m), 3.88 (2H,s), 5.30 (2H,brs), 5.59 (1H,t), 6.78 (1H,d), 7.13-7.40 (10H,m).

[0206] MS m/z: 475 (M+1).

EXAMPLE 30 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-2-nitrodibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol

[0207] The titled compound was prepared by following the procedure of example 1, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with 11-(3-bromopropylidene)-6,11-dihydro-2-nitorodibenz[b,e]oxepine.

[0208]¹H-NMR (CDCl₃) d: 1.62-1.67 (2H,m), 1.80-2.12 (3H,m), 2.28-2.78 (8H,m), 5.05 (0.3×2H,brs), 5.40 (0.7×2H,brs), 5.90 (0.7×1H,t), 6.17 (0.3×1H,t), 6.82 (0.3×1H,d), 6.92 (0.7×1H), 7.28-7.41 (8H,m), 7.82 (1H,dd), 8.15 (0.7×1H,d), 8.22 (0.3×1H,d).

[0209] MS m/z: 491 (M+1).

EXAMPLE 31 1-[3-(2-Amino-6,11-dihydrodibenz[b,e]oxepin-11-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0210] To a solution of 4-(4-chlorophenyl)-1-[3-(6,11-dihydro-2-nitrodibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol (120 mg) in EtOH (15 ml) were added tin (II) chloride (190 mg), and the mixture was heated to reflux for 1 hour. The was distilled off under reduced pressure. The residue was added ethyl acetate and sodium aqueous to neutralize. The organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with dichloromethane-methanol (95:5) to give the titled compound (70 mg).

[0211]¹H-NMR (DMSO-d₆) d: 1.54-1.60 (2H,m), 1.85-2.00 (2H,m), 2.30-2.80 (8H,m), 3.88 (2H,s).5.07 (2H,brs), 5.66 (1H,t), 6.41-6.46 (2H,m), 6.59 (1H,d), 7.24-7.49 (8H,m).

[0212] MS m/z: 461 (M+1).

EXAMPLE 32 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-2-hydroxydibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol

[0213] Step 1

[0214] 11-(3-Bromopropylidene)-6,11-dihydro-2-hydroxydibenz[b,e]oxepine was prepared by following the procedure of example 45, step 1 and 2, but replacing 5,11-dihydro-7-methoxypyrido[2,3-c][1]benzoxepin-5-one with 6,11-dihydro-2-hydroxydibenz[b,e]oxepin-11-one.

[0215]¹H-NMR (CDCl3) d: 2.69 (2H,q), 3.39 (2H,t), 5.20 (2H,brs) 5.92 (1H,t), 6.50-6.81 (4H,m), 7.17-7.37 (4H,m).

[0216] Step 2

[0217] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with the product of step 1.

[0218]¹H-NMR (CDCl₃) d: 1.60-1.75 (3H,m), 1.95-2.10 (2H,m), 2.35-2.80 (8H,m), 5.10 (2H,brs), 5.93 (1H,t), 6.56 (2H,brs), 6.71 (1H,brs), 7.11-7.35 (8H,m).

[0219] MS m/z: 462 (M+1)

EXAMPLE 33 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-2-methoxydibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol

[0220] Step 1

[0221] 11-(3-Bromopropylidene)-6,11-dihydro-2-methoxydibenz[b,e]oxepine was prepared by following the procedure of example 45, step 1 and 2, but replacing 5,11-dihydro-7-methoxypyrido[2,3-c][1]benzoxepin-5-one with 6,11-dihydro-2-methoxydibenz[b,e]oxepin-11-one.

[0222]¹H-NMR (CDCl₃) d: 2.74 (2H,q), 3.43 (2H,t), 3.77 (3H,s) 5.10 (2H,brs), 6.02 (1H,t), 6.70-6.83 (3H,m), 7.21-7.38 (4H,m).

[0223] Step 2

[0224] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with the product of step 1.

[0225]¹H-NMR (CDCl₃) d: 1.59-1.65 (2H,m), 1.95-2.66 (11H,m), 3.75 (3H,s), 5.10 (2H,brs), 6.03 (1H,t), 6.69 (2H,brs), 6.82 (1H,brs), 7.20-7.40 (8H,m).

[0226] MS m/z: 476 (M+1)

EXAMPLE 34 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-2-ethoxydibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol

[0227] To a solution of 4-(4-chlorophenyl)-1-[3-(6,11-dihydro-2-hydroxydibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol (Example 32)(200 mg) in DMF (5 ml) were added sodium hydride (60% in oil, 25 mg), ethyl iodide (0.052 ml) and the mixture was stirred at room temperature for 1 hour. Water and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with ethyl acetate-hexane (1:1) to give the titled compound (170 mg).

[0228]¹H-NMR (CDCl₃) d: 1.37 (3H,t), 1.60-1.65 (2H,m), 1.95-2.08 (3H,m), 2.28-75 (8H,m), 3.96 (2H,q), 5.15 (2H,brs), 6.02 (1H,t), 6.68 (2H,brs), 6.82 (1H,brs), 7.19-7.42 (8H,m).

[0229] MS m/z: 490 (M+1)

EXAMPLE 35 1-[3-(3-Bromo-6,11-dihydrodibenz[b,e]oxepin-11-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0230] Step 1

[0231] 3-Bromo-11-(3-bromopropylidene)-6,11-dihydrodibenz[b,e]oxepine was prepared by following the procedure of example 45, step 1 and 2, but replacing 5,11-dihydro-7-methoxypyrido[2,3-c][1]benzoxepin-5-one with 3-bromo-6,11-dihydrodibenz[b,e]oxepin-11-one.

[0232]¹H-NMR (CDCl₃) d: 2.74 (2H,q), 3.43 (2H,t), 3.77 (3H,s), 5.10 (2H,brs), 6.02 (1H,t), 6.70-6.83 (3H,m), 7.21-7.38 (4H,m).

[0233] Step 2

[0234] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with the product of step 1.

[0235]¹H-NMR (CDCl₃) d: 1.63-1.70 (3H,m), 1.96-2.10 (2H,m) 2.32-2.69 (8H,m), 5.20 (2H,brs), 6.00 (1H,t), 6.92-7.00 (2H,m), 7.11-7.14 (1H,m), 7.24-7.42 (8H,m).

[0236] MS m/z: 524, 526 (M+1)

EXAMPLE 36 4-(4-Chlorophenyl)-1-[3-(6,11-dihydrodibenz[b,e]oxepin-11-ylidene)propyl]-4-methoxypiperidine

[0237] To a solution of 4-(4-chlorophenyl)-1-[3-(6,11-dihydro-2-methoxydibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol (Example 2)(400 mg) in DMF (5 ml) were added sodium hydride (60% in oil, 50 mg), methyl iodide (0.07 ml) and the mixture was stirred at room temperature for 1 hour. Water and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with ethyl acetate-hexane (1:1) to give the titled compound (100 mg).

[0238]¹H-NMR (CDCl₃) d: 1.90-2.04 (4H,m), 2.34-2.62 (8H,m), 2.93 (3H,s), 5.25 (2H,brs), 6.04 (1H,t), 6.75-6.91 (3H,m), 7.09-7.37 (9H,m).

[0239] MS m/z: 460 (M+1)

EXAMPLE 37 4-Acetoxy-4-(4-chlorophenyl)-1-[3-(6,11-dihydrodibenz[b,e]oxepin-11-ylidene)propyl]piperidine

[0240] To a solution of 4-(4-chlorophenyl)-1-[3-(6,11-dihydro-2-methoxydibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol (Example 2)(200 mg) in dichloromethane (5 ml) were added acetyl chloride (0.06 ml), triethylamine (0.19 ml) and the mixture was stirred at room temperature for 1 hour. Aqueous sodium bicarbonate and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with ethyl acetate-hexane (1:4) to give the titled compound (190 mg).

[0241]¹H-NMR (CDCl₃) d: 1.98-2.85 (12H,m), 2.02 (3H,s), 2.93 (3H,s) 5.23 (2H,brs), 6.01 (1H,t), 6.73-6.90 (3H,m), 7.11-7.40 (9H,m).

[0242] MS m/z: 488 (M+1)

EXAMPLE 38 1-[3-(8-Bromo-4,10-dihydrothieno[3,2-c][1]benzoxepin-10-ylidene)propyl]piperidin-4-(4-chlorophenyl)-4-ol

[0243] Step 1

[0244] 8-Bromo-10-(3-bromopropylidene)-4,10-dihydrothieno[3,2-c][1]benzoxepine was prepared by following the procedure of example 45, step 1 and 2, but replacing 5,11-dihydro-7-methoxypyrido[2,3-c][1]benzoxepin-5-one with 4,10-dihydrothieno[3,2-c][1]benzoxepin-10-one.

[0245]¹H-NMR (CDCl₃) d: 2.84 (2H,q), 3.45 (2H,t), 5.10 (2H,s), 6.11 (1H,t), 6.65 (1H,d), 7.03-7.08 (2H,m), 7.38-7.43 (2H,m).

[0246] Step 2

[0247] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with the product of step 1.

[0248]¹H-NMR (CDCl₃) d: 1.66-1.75 (3H,m), 2.03-2.16 (2H,m), 2.40-2.86 (8H,m), 5.09 (0.7×2H,s), 5.14 (0.3×2H,s), 5.90 (0.3×1H,t), 6.10 (0.7×1H,t), 6.64 (0.7×1H,d), 6.75 (0.3×1H,d), 6.90 (0.3×1H,d), 7.03-7.09 (2H,m), 7.21-7.45 (6H,m).

[0249] MS m/z: 532 (M+1)

EXAMPLE 39 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-6-oxo-5H-dibenz[b,e]azepin-11-ylidene)propyl]piperidin-4-ol

[0250] Step 1

[0251] 11-(3-Bromopropylidene)-6,11-dihydro-6-oxo-5H-dibenz[b,e]azepine was prepared by following the procedure of example 45, step 1 and 2, but replacing 5,11-dihydro-7-methoxypyrido[2,3-c][1]benzoxepin-5-one with 6,11-dihydro-6-5H-dibenz[b,e]azepin-6,11-dione.

[0252]¹H-NMR (CDCl₃) d: 2.70-2.92 (2H,m), 3.45 (2H,t), 5.92 (1H,t), 7.08-7.58 (7H,m), 8.05 (1H,dd), 9.00 (1H,brs).

[0253] Step 2

[0254] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with the product of step 1.

[0255]¹H-NMR (CDCl₃) d: 1.61-1.66 (2H,m), 1.97-2.20 (3H,m), 2.35-2.68 (8H,m), 5.80 (1H,t), 7.03-7.53 (11H,m), 8.02 (1H,dd), 9.27 (1H,brs).

[0256] MS m/z: 459 (M+1)

EXAMPLE 40 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-5-ethyl-6-oxo-5H-dibenz[b,e]azepin-11-ylidene)propyl]piperidin-4-ol

[0257] The titled compound was prepared by following the procedure of example 12, but replacing benzyl bromide with ethyl iodide.

[0258]¹H-NMR (CDCl₃) d: 1.19-1.28 (3H,m), 1.63-1.69 (2H,m), 1.99-2.16 (3H,m), 2.37-2.70 (8H,m), 3.77-3.85 (1H,m), 4.40-4.48 (1H,m), 5.85 (1H,t), 7.12-7.45 (11H,m), 7.85 (1H,dd).

[0259] MS m/z: 487 (M+1)

EXAMPLE 41 1-[3-(5-n-Butyl-6,11-dihydro-6-oxo-5H-dibenz[b,e]azepin-11-ylidene)propyl]-4-(4-chlorophenyl)-piperidin-4-ol

[0260] The titled compound was prepared by following the procedure of example 12, but replacing benzyl bromide with n-butyl iodide. ¹H-NMR (CDCl₃) d: 0.90-0.98 (3H,m), 1.25-2.20 (9H,m), 2.40-2.87 (8H,m), 3.62-3.72 (1H,m), 4.52-4.64 (1H,m), 5.85 (1H,t), 7.16-7.45 (11H,m), 7.88 (1H,dd).

[0261] MS m/z: 515 (M+1)

EXAMPLE 42 4-(4-Chlorophenyl)-1-[3-(6,11-dihydro-5-(3-hydroxypropyl)-6-oxo-5H-dibenz[b,e]azepin-11-ylidene)propyl]piperidin-4-ol

[0262] To a solution 4-(4-chlorophenyl)-1-[3-(6,11-dihydro-6-oxo-5H-dibenz[b,e]azepin-11-ylidene)propyl]piperidin-4-ol hydrochloride (Example 39)(500 mg) in DMF (8 ml) were added sodium hydride (60% in oil, 200 mg), 2-(3-bromopropoxy)tetrahydro-2H-pyran (0.5 ml) and the mixture was stirred at room temperature for 6 hours. Water and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was solved in 1M hydrogen chloride in diehyl ether and stirred at room temperature for 1 hour. Aqueous sodium bicarbonate and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with ethyl acetate to give the titled compound (250 mg).

[0263]¹H-NMR (CDCl₃) d: 1.25-2.87 (15H,m), 3.51-3.56 (2H,m), 3.76-3.82 (1H,m), 4.81-4.87 (1H,m), 5.86 (1H,t), 7.16-7.45 (1H,m), 7.82 (1H,dd).

[0264] MS m/z: 517 (M+1)

EXAMPLE 43 1-[3-(5-tert-Butoxycarbonymethyl-6,11-dihydro-6-oxo-5H-dibenz[b,e]azepin-11-ylidene)propyl]-4-(4-chlorophenyl)-piperidin-4-ol

[0265] The titled compound was prepared by following the procedure of example 12, but replacing benzyl bromide with tert-butyl bromoacetate.

[0266]¹H-NMR (CDCl₃) d: 1.50 (9H,s), 1.65-1.70 (2H,m), 1.95-2.10 (3H,m), 2.42-2.75 (8H,m), 4.24 (1H,d), 4.75 (1H,d), 5.88 (1H,t), 7.16-7.46 (11H,m), 7.90 (1H,dd).

[0267] MS m/z: 573 (M+1)

EXAMPLE 44 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-hydroxy [1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0268] Step 1

[0269] To a solution of the product of example 45, step 1 (4.3 g) in dichloroethane (100 ml) was added boron tribromide-methyl sulfide complex (19.3 g) and the mixture was heated to reflux for 3 hour. Water and ethyl acetate were added to the reaction mixture and neutralized with dilute NaOH solution. The organic layer was separated and washed with saturated aqueous sodium chloride, and dried over magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with ethyl acetate-hexane (1:2) to give 5-(3-bromopropylidene)-5,11-dihydro-7-hydroxy [1]benzoxepino[2,3-b]pyridine (3.2 g).

[0270]¹H-NMR (CDCl₃) d: 2.72 (2H,q), 3.45 (2H,t), 5.28 (2H,brs) 6.03 (1H,t), 6.66-6.80 (3H,m), 7.26 (1H,dd), 7.58 (1H,dd), 8.51 (1H,dd).

[0271] Step 2

[0272] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 5-(3-bromopropylidene)-5,11-dihydro-7-methoxy [1]benzoxepino[2,3-b]pyridine with the product of step 1.

[0273]¹H-NMR (DMSO-d₆) d: 1.46-1.51 (2H,m), 1.74-1.85 (2H,m), 2.29-2.51 (8H,m), 5.15 (2H,brs), 6.07 (1H,t), 6.61-6.70 (3H,m), 7.33-7.48 (5H,m), 7.73 (1H,dd), 8.47 (1H,dd), 9.06 (1H,s).

[0274] MS m/z: 463 (M+1)

EXAMPLE 45 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0275] Step 1

[0276] To a solution of 5,11-dihydro-7-methoxy [1]benzoxepino[2,3-b]pyridin-5-one (5.0 g) in THF (50 ml) was added 1.1M cyclopropylmagnesium bromide THF solution (25 ml) at 0° C. The reaction mixture was warmed to room temperature, and stirred for 30 minutes. Aqueous ammonium chloride and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was filtered and washed with ethyl acetate-hexane (1:2) to give 5-cyclopropyl-5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ol (5.0 g).

[0277] Step 2

[0278] To a solution of the product of step 1 (4.3 g) in acetic acid (30 ml) was added 48% aqueous HBr (25 ml) at 10° C. The reaction mixture was warmed to room temperature, and stirred for 12 hours. Water and ethyl acetate were added to the reaction mixture and neutralized with dilute NaOH solution. The organic layer was separated and washed with saturated aqueous sodium chloride, and dried over magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with ethyl acetate-hexane (1:4) to give 5-(3-bromopropylidene)-5,11-dihydro-7-methoxy [1]benzoxepino[2,3-b]pyridine (5.6 g).

[0279]¹H-NMR (CDCl₃) d: 2.74 (2H,q), 3.46 (2H,t), 3.78 (3H,s), 5.25 (2H,brs), 6.07 (1H,t), 6.72-6.82 (3H,m), 7.21-7.42 (5H,m), 7.56 (1H,dd), 8.45 (1H,dd).

[0280] Step 3

[0281] To a solution the product of step 2 (1.1 g) in DMF (15 ml) were added 4-(4-chlorophenyl)-4-hydroxypiperidine (0.81 g) and potassium carbonate (0.53 g) and the mixture was stirred at room temperature for 3 hours. Water and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with methylene chloride-methanol (10:1) to give the titled compound as major regioisomer (0.86 g) and minor one (0.05 g).

[0282] Major isomer

[0283]¹H-NMR (CDCl₃) d: 1.64-1.69 (2H,m), 1.91-2.08 (3H,m), 2.34-2.69 (8H,m), 3.77 (3H,s), 5.25 (2H,brs), 6.07 (1H,t), 6.72-6.82 (3H,m), 7.21-7.42 (5H,m), 7.56 (1H,dd), 8.45 (1H,dd).

[0284] MS m/z: 477 (M+1)

[0285] Minor isomer

[0286]¹H-NMR (CDCl₃) d: 1.65-1.79 (3H,m) 2.01-2.13 (2H,m), 2.35-2.76 (8H,m), 3.76 (3H,s), 5.22 (2H,brs), 5.95 (1H,t), 6.72-6.80 (2H,m), 7.06 (1H,d), 7.16 (1H,dd), 7.28 (2H,d), 7.42 (2H,d), 7.66 (1H,dd), 8.39 (1H,dd).

[0287] MS m/z: 477 (M+1)

EXAMPLE 46 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-ethoxy [1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0288] The titled compound was prepared by following the procedure of example 34, but replacing 4-(4-chlorophenyl)-1-[³-(6,11-dihydro-2-hydroxydibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol with 4-(4-chlorophenyl)-1-[3-(5,11-dihydro-7-hydroxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol (example 44).

[0289]¹H-NMR (CDCl₃) d: 1.38 (3H,t), 1.67-1.72 (3H,m), 2.05-2.16 (2H,m), 2.40-2.80 (8H,m), 3.99 (2H,q), 5.26 (2H,brs), 6.05 (1H,t), 6.71-6.82 (3H,m), 7.23-7.43 (5H,m), 7.57 (1H,dd), 8.47 (1H,dd).

[0290] MS m/z: 491 (M+1)

EXAMPLE 47 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-isopropoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0291] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with isopropyl bromide.

[0292]¹H-NMR (CDCl₃) d: 1.30 (6H,d), 1.60-1.70 (3H,m), 1.99-2.09 (2H,m), 2.33-2.69 (8H,m), 4.37-4.48 (1H,m), 5.26 (2H,brs), 6.06 (1H,t), 6.73-6.82 (3H,m), 7.21-7.43 (5H,m), 7.55 (1H,dd), 8.47 (1H,dd)

[0293] MS m/z: 505 (M+1)

EXAMPLE 48 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-ethoxycarbonylmethyloxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0294] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with ethyl bromoacetate.

[0295]¹H-NMR (CDCl₃) d: 1.28 (3H,t), 1.63-1.68 (2H,m), 1.97-2.02 (3H,m), 2.33-2.68 (8H,m), 4.24 (2H,q), 4.55 (2H,s), 5.26 (2H,brs), 6.06 (1H,t), 6.73-6.88 (3H,m), 7.21-7.42 (5H,m), 7.55 (1H,dd), 8.44 (1H,dd).

[0296] MS m/z: 549 (M+1)

EXAMPLE 49 4-(4-Chlorophenyl)-1-[3-(7-cyanomethyloxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0297] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with bromoacetonitrile.

[0298]¹H-NMR (CDCl₃) d: 1.62-1.67 (2H,m), 1.94-2.06 (2H,m), 2.21 (1H,brs), 2.34-2.66 (8H,m), 4.70 (2H,s), 5.26 (2H,brs), 6.10 (1H,t), 6.80 (2H,brs), 6.92 (1H,brs), 7.22-7.41 (5H,m), 7.56 (1H,dd), 8.44 (1H,dd).

[0299] MS m/z: 502 (M+1)

EXAMPLE 50 1-[3-(7-(2-Acetoxyethyl)oxy-5,11-dihydro [1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0300] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with 2-bromoethyl acetate.

[0301]¹H-NMR (CDCl₃) d: 1.65-1.72 (3H,m), 1.97-2.09 (5H,m), 2.37-2.70 (8H,m), 4.11-4.14 (2H,m), 4.37-4.41 (2H,m), 5.25 (2H,brs), 6.07 (1H,t), 6.75-6.84 (3H,m), 7.23-7.43 (5H,m), 7.56 (1H,dd), 8.47 (1H,dd).

[0302] MS m/z: 549 (M+1)

EXAMPLE 51 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(2-hydroxyethyl)oxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0303] To a solution of 1-[3-(7-(2-acetoxyethyl)oxy-5,11-[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol (Example 50)(140 mg) in ethanol (5 ml) were added 15% sodiun hydroxide aqueous solution (2 ml) and the mixture was heated to reflux for 1 hour. Water and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with methylene chloride-methanol (10:1) to give the titled compound (120 mg).

[0304]¹H-NMR (CDCl₃) d: 1.64-1.69 (2H,m), 1.98-2.10 (3H,m), 2.36-2.79 (8H,m), 3.89-3.94 (2H,m), 3.99-4.04 (2H,m), 5.24 (2H,brs), 6.04 (1H,t), 6.71-6.84 (3H,m), 7.23-7.41 (5H,m), 7.54 (1H,dd), 8.43 (1H,dd)

[0305] MS m/z: 507 (M+1)

EXAMPLE 52 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(2-morpholinoethyl)oxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0306] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with 4-(2-chloroethyl)morpholine hydrochloride.

[0307]¹H-NMR (CDCl₃) d: 1.62-1.67 (2H,m), 1.95-2.08 (2H,m), 2.20-2.67 (13H,m), 2.74 (2H,t), 3.67-3.71 (4H,m), 4.04 (2H,t), 5.23 (2H,brs), 6.05 (1H,t), 6.73-6.82 (3H,m), 7.20-7.41 (5H,m), 7.53 (1H,dd), 8.42 (1H,dd).

[0308] MS m/z: 576 (M+1)

EXAMPLE 53 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro [1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0309] Step 1

[0310] 5-(3-Bromopropylidene)-5,11-dihydro [1]benzoxepino[2,3-b]pyridine was prepared by following the procedure of example 45, step 1 and 2, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-one.

[0311]¹H-NMR (CDCl₃) d: 2.71 (2H,q), 3.46 (2H,t), 5.33 (2H,brs) 6.04 (1H,t), 7.01-7.17 (3H,m), 7.29 (1H,dd), 7.56 (1H,dd), 8.53 (1H,dd)

[0312] Step 2

[0313] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 5-(3-bromopropylidene)-51,11-dihydro-7-methoxy [1]benzoxepino[2,3-b]pyridine with the product of step 1.

[0314]¹H-NMR (CDCl₃) d: 1.66-1.71 (2H,m), 2.00-2.20 (3H,m), 2.36-2.69 (8H,m), 5.34 (2H,brs), 6.10 (1H,t), 6.83-6.96 (3H,m), 7.17-7.44 (6H,m), 7.60 (1H,dd), 8.46 (1H,dd).

[0315] MS m/z: 447 (M+1)

EXAMPLE 54 1-[3-(8-Bromo-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0316] Step 1

[0317] 8-Bromo-5-(3-bromopropylidene)-5,11-dihydro[1]benzoxepino[2,3-b]pyridine was prepared by following the procedure of example 45, step 1 and 2, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 8-bromo-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-one.

[0318]¹H-NMR (CDCl₃) d: 2.75 (2H,q), 3.50 (2H,t), 5.38 (2H,brs), 6.08 (1H,t), 6.85-6.98 (2H,m), 7.18-7.35 (3Hm), 7.59 (1H,dd), 8.54 (1H,dd)

[0319] Step 2

[0320] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 5-(3-bromopropylidene)-5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridine with the product of step 1.

[0321]¹H-NMR (CDCl₃) d: 1.64-1.69 (2H,m), 1.90-2.07 (3H,m), 2.30-2.67 (8H,m), 5.30 (2H,brs), 6.08 (1H,t), 7.00-7.07 (2H,m), 7.13 (1H,d), 7.25-7.42 (5H,m), 7.56 (1H,dd), 8.47 (1H,dd).

[0322] MS m/z: 525, 527 (M+1)

EXAMPLE 55 4-(4-Chlorophenyl)-1-[3-(10,11-dihydro-10-oxo-5H-pyrido[2,3-c][2]benzazepin-5-ylidene)propyl]piperidin-4-ol

[0323] Step 1

[0324] 5-(3-Bromopropylidene)-10,11-dihydro-10-oxo-5H-pyrido[2,3-c][2]benzazepine was prepared by following the procedure of example 45, step 1 and 2, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 10,11-dihydro-5H-pyrido[2,3-c][2]benzazepin-5,10-dione.

[0325]¹H-NMR (CDCl₃) d: 2.75-2.90 (2H,m), 3.45 (2H, t), 5. 92 (1H, t) 7.04-7.70 (5H,m), 8.10 (1H,dd), 8.48 (1H,dd), 10.00 (1H,brs).

[0326] Step 2

[0327] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 5-(3-bromopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene with the product of step 1.

[0328]¹H-NMR (CDCl₃) d: 1.64-1.69 (3H,m), 2.00-2.12 (2H,m), 2.35-2.70 (8H,m), 5.82 (1H,t), 7.08 (1H,dd), 7.23-7.62 (8H,m), 8.04 (1H,dd), 8.32 (1H,dd), 8.76 (1H,brs).

[0329] MS m/z: 460 (M+1)

EXAMPLE 56 4-(4-Chlorophenyl)-1-[3-(10,11-dihydro-11-methyl-10-oxo-5H-pyrido[2,3-c][2]benzazepin-5-ylidene)propyl]piperidin-4-ol

[0330] The titled compound was prepared by following the procedure of example 36, but replacing of 4-(4-chlorophenyl)-1-[3-(6,11-dihydro-2-methoxydibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol with 5-(3-bromopropylidene)-10,11-dihydro-10-oxo-5H-pyrido[2,3-c][2]benzazepine.

[0331]¹H-NMR (CDCl₃) d: 1.64-1.70 (3H,m), 2.00-2.10 (2H,m), 2.41-2.69 (8H,m), 3.62 (3H,s), 5.82 (1H,t), 7.07 (1H,dd), 7.25-7.54 (8H,m), 7.91 (1H,dd), 8.34 (1H,dd).

[0332] MS m/z: 474 (M+1)

EXAMPLE 57 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)ethyl]piperidin-4-ol

[0333] Step 1

[0334] To a solution of methyltriphenylphosphonium bromide (2.2 g) in THF (20 ml) was added 1.6M n-butyl lithium hexane solution (2.9 ml) at 0° C. for 30 minutes. To the reaction mixture cooled to 0° C. was added 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one (1.0 g) dropwise as THF solution (5 ml), and the mixture was warmed to room temperature, and stirred for 3 hours. Aqueous ammonium chloride and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with ethyl acetate-hexane (1:4) to give 5,11-dihydro-7-methoxy-5-methylenepyrido[2,3-c][1]benzoxepine (0.14 g).

[0335] Step 2

[0336] To a solution of DMF (0.54 ml) was added phosphorus oxychloride (0.41 ml) at 0° C. for 10 minutes. To the reaction mixture was added the product of step 1 (210 mg) in carbontetrachloride (5 ml) and the mixture was heated to reflux for 5 hours. Aqueous sodium bicarbonate and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with ethyl acetate-hexane (1:4) to give 3-(5,₁1-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)acetaldehyde (130 mg).

[0337]¹H-NMR (CDCl₃) d: 3.77 (0.7×3H,s), 3.79 (0.3×3H, s), 5.31 (2H,s), 6.46 (0.7×1H,d), 6.52 (0.3×1H,d), 6.78-7.40 (4H,m), 7.68 (0.3×1H,dd), 7.78 (0.7×1H,dd), 8.55 (0.7×1H,dd), 8.64 (0.3×1H,dd), 9.62 (0.3×1H,d), 9.79 (0.7×1H,d).

[0338] Step 3

[0339] The titled compound was prepared by following the procedure of example 58, step 2, but replacing of 3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propanaldehyde with product of step 2.

[0340]¹H-NMR (CDCl₃) d: 1.64-1.82 (2H,m), 1.92-2.22 (3H,m), 2.43-2.58 (2H,m), 2.79-3.45 (6H,m), 3.68 (0.3×3H,s), 3.70 (0.7×3H,s), 5.24 (2H,brs), 6.18 (0.7×1H,t), 6.21 (0.3×1H,t), 6.72-7.42 (8H,m), 7.78 (0.3×1H,dd), 7.85 (0.7×1H,dd), 8.42 (0.7×1H,dd), 8.46 (0.3×1H,dd).

[0341] MS m/z: 463 (M+1)

EXAMPLE 58 4-(4-Chlorophenyl)-1-[4-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)butyl]piperidin-4-ol

[0342] Step 1

[0343] 3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propenaldehyde was prepared by following the procedure of example 57, step 2, but replacing 5,11-dihydro-7-methoxy-5-methylene[1]benzoxepino[2,3-b]pyridine with 5,11-dihydro-7-methoxy-5-(propyl-1-ene) [1]benzoxepino[2,3-b]pyridine (by-product of example 45, step 3).

[0344]¹H-NMR (CDCl₃) d: 3.78 (0.3×3H,s), 3.80 (0.7×3H,s), −5.32 (2H,brs), 6.34-6.39 (1H,m), 6.72-7.38 (6H,m), 7.58 (0.7×1H,dd), 7.77 (0.3×1H,dd), 8.49 (0.3×1H,dd), 8.60 (0.7×1H,dd), 9.51 (0.7×1H,d), 9.54 (0.3×1H,d).

[0345] Step 2

[0346] To a solution of the product of step 1 (90 mg) in dichloromethane (6 ml) were added sodium triacetoxyborohydride (170 mg), 4-(4-chlorophenyl)-4-hydroxypiperidine (70 mg) and acetic acid (0.02 ml) and the mixture stirred at room temperature for 24 hour. Water and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure. The residue was purified by silica gel chromatography eluting with dichloromethane-methanol (95:5) to give 4-(4-chlorophenyl)-1-[4-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)buten-2-yl]piperidin-4-ol (110 mg).

[0347]¹H-NMR (CDCl₃) d: 1.68-1.73 (2H,m), 2.04-2.16 (2H,m), 2.43-2.72 (3H,m), 2.77-2.81 (2H,m), 3.08-3.13 (2H,m), 3.73 (0.3×3H,s), 3.77 (0.7×3H,s), 5.20 (2H,brs), 5.98-6.05 (1H,m), 6.23-7.43 (10H,m), 7.58 (0.7×1H,dd), 7.65 (0.3×1H,dd), 8.37 (0.3×1H,dd), 8.45 (0.7×1H,dd).

[0348] MS m/z: 489 (M+1).

[0349] Step 3

[0350] To a solution of the product of step 2 (8 mg) in ethanol (2 ml) were added 10% Pd—C (2 mg) was stirred under hydrogen (under a balloon) at room temperature for 1 hour. The mixture was filtered through the celite and distilled off under reduced pressure to give the titled compound (6 mg).

[0351]¹H-NMR (CDCl₃) d: 1.68-3.00 (15H,m), 3.77 (3H,s), 5.18-5.35 (2H,m), 5.94 (0.4H,t, E isomer), 6.06 (0.6H,t, Z isomer), 6.65-6.88 (3H,m), 7.05-7.73 (6H,m), 8.30-8.56 (1H,m).

[0352] MS m/z: 491 (M+1)

EXAMPLE 59 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-phenyl-4-ol

[0353] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-phenyl-4-hydroxypiperidine.

[0354]¹H-NMR (CDCl₃) d: 1.68-1.73 (2H,m), 2.02-2.15 (3H,m), 2.38-2.72 (8H,m), 3.77 (3H,s), 5.26 (2H,brs), 6.08 (1H,t), 6.72-6.83 (3H,m), 7.21-7.36 (4H,m), 7.46-7.49 (2H,m), 7.58 (1H,dd), 8.46 (1H,dd).

[0355] MS m/z: 443 (M+1).

EXAMPLE 60 4-(4-Bromophenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0356] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-bromophenyl)-4-hydroxypiperidine.

[0357]¹H-NMR (CDCl₃) d: 1.65-1.69 (2H,m), 2.00-2.10 (3H,m), 2.37-2.71 (8H,m), 3.76 (3H,s), 5.24 (2H,brs), 6.05 (1H,t), 6.70-6.82 (3H,m), 7.24 (1H,dd), 7.38 (2H,d), 7.44 (2H,s), 7.52 (1H,dd), 8.44 (1H,dd).

[0358] MS m/z: 521,523 (M+1).

EXAMPLE 61 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0359] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-hydroxypiperidine.

[0360]¹H-NMR (CDCl₃) d: 1.43-1.60 (2H,m), 1.80-1.98 (2H,m), 2.00-2.18 (3H,m), 2.34-2.48 (4H,m), 2.63-2.76 (2H,m), 3.64-3.73 (1H,m), 3.70 (3H,s), 5.35 (2H,brs), 6.06 (1H,t), 6.74-6.84 (3H,m), 7.25 (1H,dd), 7.60 (1H,dd), 8.50 (1H,dd).

[0361] MS m/z: 367 (M+1).

EXAMPLE 62 4-Benzyl-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0362] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-benzyl-4-hydroxypiperidine.

[0363]¹H-NMR (CDCl₃) d: 1.42-1.57 (3H,m), 1.62-1.75 (2H,m), 2.22-2.70 (8H,m), 2.79 (2H,s), 3.80 (3H,s), 5.25 (2H,brs), 6.08 (1H,t), 6.73-6.84 (3H,m), 7.18-7.24 (6H,m), 7.57 (1H,dd), 8.50 (1H,dd).

[0364] MS m/z: 457 (M+1)

EXAMPLE 63 4-Cyano-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-phenylpiperidine

[0365] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-cyano-4-phenylpiperidine.

[0366]¹H-NMR (CDCl₃) d: 1.97-2.06 (4H,m), 2.37-2.60 (6H,m), 2.85-2.90 (2H,m), 3.79 (3H,s), 5.27 (2H,brs), 6.08 (1H,t), 6.72-6.84 (3H,m), 7.24-7.58 (7H,m), 8.49 (1H,dd).

[0367] MS m/z: 452 (M+1).

EXAMPLE 64 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-phenylpiperidine

[0368] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-phenylpiperidine.

[0369]¹H-NMR (CDCl₃) d: 1.73-1.79 (4H,m), 1.96-2.03 (2H,m), 2.37-2.52 (5H,m), 2.86-2.94 (2H,m), 3.77 (3H,s), 5.26 (2H,brs). 6.08 (1H,t), 6.72-6.83 (3H,m), 7.17-7.31 (6H,m), 7.56 (1H,dd), 8.49 (1H,dd).

[0370] MS m/z 426 (M+1).

EXAMPLE 65 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidine

[0371] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-chlorophenyl)piperidine.

[0372]¹H-NMR (CDCl₃) d: 1.68-1.74 (4H,m), 1.96-2.03 (2H,m), 2.36-2.48 (5H,m), 2.89-2.94 (2H,m), 3.77 (3H,s), 5.27 (2H,brs), 6.07 (1H,t), 6.73-6.83 (3H,m), 7.10-7.27 (5H,m), 7.57 (1H,dd), 8.48 (1H,dd)

[0373] MS m/z: 461 (M+1).

EXAMPLE 66 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-piperidinopiperidine

[0374] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-piperidinopiperidine.

[0375]¹H-NMR (CDCl₃) d: 1.40-2.00 (12H,m), 2.15-2.60 (9H,m), 2.80-2.92 (2H,m), 3.80 (3H,s), 5.28 (2H,brs), 6.05 (1H,t), 6.75-6.86 (3H,m), 7.30 (1H,dd), 7.55 (1H,dd), 8.46 (1H,dd).

[0376] MS m/z 434 (M+1).

EXAMPLE 67 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(2-keto-1-benzimidazolinyl)piperidine

[0377] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(2-keto-1-benzimidazolinyl)piperidine.

[0378]¹H-NMR (CDCl₃) d: 1.75-1.79 (2H,m), 2.03-2.15 (2H,m), 2.38-2.52 (6H,m), 2.93-2.98 (2H,m), 3.78 (3H,s), 4.30-4.38 (1H,m), 5.30 (2H,brs), 6.10 (1H,t), 6.73-6.84 (3H,m), 7.01-7.03 (3H,m), 7.21-7.28 (2H,m), 7.59 (1H,dd), 8.48 (1H,dd).

[0379] MS m/z: 483 (M+1).

EXAMPLE 68 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(2-keto-3-methyl-1-benzimidazolinyl)piperidine

[0380] The titled compound was prepared by following the procedure of example 36, but replacing of 4-(4-chlorophenyl)-1-[3-(6,11-dihydro-2-methoxydibenz[b,e]oxepin-11-ylidene)propyl]piperidin-4-ol with 1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(2-keto-1-benzimidazolinyl)piperidine.

[0381]¹H-NMR (CDCl₃) d: 1.72-1.76 (2H,m), 2.09-2.14 (2H,m), 2.23-2.54 (6H,m), 2.91-2.96 (2H,m), 3.38 (3H,s), 3.77 (3H,s), 4.30-4.37 (1H,m), 5.27 (2H,brs), 6.08 (1H,t), 6.71-6.83 (3H,m), 6.93-7.06 (3H,m), 7.23-7.60 (2H,m), 8.08 (1H,dd), 8.48 (1H,dd).

[0382] MS m/z: 497 (M+1).

EXAMPLE 69 8-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-1-phenyl-1,3,8-triazaspiro[4,5]decan-4-one

[0383] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 1-phenyl-1,3,8-triazaspiro[4,5]decan-4-one.

[0384]¹H-NMR (CDCl₃) d: 1.65-1.70 (2H,m), 2.36-2.41 (2H,m), 2.53-2.79 (8H,m), 3.76 (3H, s), 4.70 (2H,s), 5.25 (2H,brs), 6.10 (1H,t), 6.71-6.88 (6H,m), 7.21-7.27 (3H,m), 7.58-7.61 (2H,m), 8.48 (1H,dd).

[0385] MS m/z: 497 (M+1)

EXAMPLE 70 4-Anilino-4-carbamyl-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidine

[0386] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-anilino-4-carbamylpiperidine.

[0387]¹H-NMR (CDCl₃) d: 1.85-1.90 (2H,m), 2.03-2.08 (2H,m), 2.19-2.46 (6H,m), 2.62-2.67 (2H,m), 3.75 (3H,s), 3.97 (1H,brs), 5.27 (2H,brs), 5.53 (1H,brs), 6.03 (1H,t), 6.60 (2H,d), 6.70-6.85 (4H,m), 7.12-7.25 (4H,m), 7.53 (1H,dd), 8.46 (1H,dd).

[0388] MS m/z 485 (M+1).

EXAMPLE 71 1-(4-Chlorophenyl)-4-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperazine

[0389] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 1-(4-chlorophenyl)piperazine.

[0390]¹H-NMR (CDCl₃) d: 2.36-2.53 (8H,m), 3.07-3.09 (4H,m), 3.76 (3H,s), 5.26 (2H,brs), 6.08 (1H,t), 6.72-6.81 (5H,m), 7.16-7.28 (3H,m), 7.56 (1H,dd), 8.49 (1H,dd).

[0391] MS m/z: 462 (M+1)

EXAMPLE 72 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(2-pyrimidyl)piperazine

[0392] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 1-(2-pyrimidyl)piperazine.

[0393]¹H-NMR (CDCl₃) d: 2.37-2.53 (8H,m), 3.74-3.83 (7H,m), 5.27 (2H, brs), 6.08 (1H,t), 6.45 (1H,t), 6.72-6.83 (3H,m), 7.25 (1H,dd), 7.56 (1H,dd), 8.27 (2H,d), 8.49 (1H,dd).

[0394] MS m/z: 430 (M+1).

EXAMPLE 73 1-Cyclohexyl-4-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperazine

[0395] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 1-cyclohexylpiperazine.

[0396]¹H-NMR (CDCl₃) d: 1.12-1.27 (6H,m), 1.74-1.86 (6H,m), 2.18-2.52 (11H,m), 3.76 (3H,s), 5.26 (2H,brs), 6.04 (1H,t), 6.74-6.81 (3H,m), 7.23 (1H,dd), 7.55 (1H,dd), 8.48 (1H,dd).

[0397] MS m/z: 434 (M+1).

EXAMPLE 74 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(2-furoyl)piperazine

[0398] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 1-(2-furoyl)piperazine.

[0399]¹H-NMR (CDCl₃) d: 2.34-2.48 (8H,m), 3.71-3.74 (7H,s), 5.24 (2H,brs), 6.05 (1H,t), 6.42 (1H,dd), 6.70-6.80 (3H,m), 6.93 (1H,d), 7.23 (1H,dd), 7.42 (1H,d), 7.53 (1H,dd), 8.46 (1H,dd)

[0400] MS m/z: 446 (M+1).

EXAMPLE 75 4-(3-Chlorophenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0401] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(3-chlorophenyl)-4-hydroxypiperidine.

[0402]¹H-NMR (CDCl₃) d: 1.61-1.75 (2H,m), 1.98 (1H,brs), 1.99 (2H,dt), 2.25 (3H,s), 2.30-2.76 (8H,m), 3.73 (3H,s), 5.22 (2H,brs), 5.95 (0.1H,t, E isomer), 6.04 (0.9H,t, Z isomer), 6.71-6.89 (3H,m), 6.95 (1H,dd), 7.15-7.20 (0.3H,m, E isomer), 7.21-7.35 (2.7H,m, Z isomer), 7.53 (0.9H,dd, Z isomer), 7.65 (0.1H,dd, E isomer), 8.35 (0.1H,dd, E isomer), 8.45 (0.9H,dd, Z isomer).

[0403] MS m/z: 477 (M+1)

EXAMPLE 76 4-(2-Chlorophenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0404] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(2-chlorophenyl)-4-hydroxypiperidine.

[0405]¹H-NMR (CDCl₃) d: 1.98-2.08 (2H,m), 2.24 (2H,dt), 2.38-2.78 (9H,m), 3.77 (3H,s), 5.27 (2H,brs), 6.08 (1H,t), 6.82-6.75 (3H,m), 7.28-7.19 (3H,m), 7.33 (1H,dd), 7.49 (1H,dd), 7.58 (1H,dd), 8.40 (0.1H,dd, Z isomer), 8.47 (0.9H,dd, E isomer)

[0406] MS m/z: 477 (M+1)

EXAMPLE 77 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-fluorophenyl)piperidin-4-ol

[0407] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-fluorophenyl)-4-hydroxypiperidine.

[0408]¹H-NMR (CDCl₃) d: 1.58-1.72 (2H,m), 2.04 (2H,dt), 2.22-2.78 (9H,m), 3.75 (3H,s), 5.26 (2H,brs), 6.09 (1H,t), 6.70-6.88 (3H,m), 7.00 (2H,dd), 7.23 (1H,dd), 7.42 (2H,dd), 7.56 (1H,dd), 8.41 (1H,dd).

[0409] MS m/z: 461 (M+1)

EXAMPLE 78 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(p-tolyl)piperidin-4-ol

[0410] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(p-tolyl)-4-hydroxypiperidine.

[0411]¹H-NMR (CDCl₃) d: 1.65-1.78 (2H,m), 2.02 (2H,dt), 2.31 (3H,s), 2.24-2.75 (9H,m), 3.75 (3H,s), 5.25 (2H,brs), 6.07 (1H,t), 6.72-6.84 (3H,m), 7.13 (2H,d), 7.23 (1H,dd), 7.34 (1H,d), 7.56 (1H,dd), 8.43 (1H,dd).

[0412] MS m/z: 457 (M+1)

EXAMPLE 79 4-(3,4-Dichlorophenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0413] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(3,4-dichlorophenyl)-4-hydroxypiperidine.

[0414]¹HNMR (CDCl₃) d: 1.58-1.72 (2H,m), 1.84 (1H,brs), 2.02 (2H,td), 2.32-2.72 (8H,m), 3.76 (3H,s), 5.27 (2H,brs), 5.95 (0.1H,t, E isomer), 6.07 (0.9H,t, Z isomer), 6.72-6.85 (3H,M), 7.12-7.20 (0.2H,m, E isomer), 7.21-7.32 (0.18H,m, Z isomer), 7.32-7.45 (1H,m), 7.52-7.56 (2H,m), 8.37 (0.9H,dd, E siomer), 8.45 (0.1H,dd, Z isomer).

[0415] MS m/z: 512 (M+1)

EXAMPLE 83 4-(5-Chloropyridin-2-yl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0416] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(5-chloropyridin-2-yl)-4-hydroxypiperidine.

[0417]¹H-NMR (CDCl₃) d: 1.77-1.82 (2H,m), 2.36-2.94 (11H,m), 3.77 (3H,brs), 5.26 (2H,brs), 6.07 (1H,t), 6.76-6.84 (3H,m), 7.26 (1H,dd), 7.57 (1H,dd), 8.49-7.48 (1H,d), 8.42-8.53 (3H,m).

[0418] MS m/z: 478 (M+1)

EXAMPLE 85 4-(5-Chloro-2-keto-1-benzimidazolinyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidine

[0419] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(5-chloro-2-keto-1-benzimidazolinyl)piperidine.

[0420]¹H-NMR (CDCl₃) d: 1.68-1.72 (2H,m), 2.03-2.60 (8H,m), 2.90-3.02 (2H,m), 3.78 (3H,s), 4.32-4.21 (1H,m), 5.29 (2H,brs), 5.95 (0.1H,t, E siomer), 6.08 (0.9H,t, Z isomer), 6.70-6.92 (3H,m), 7.02 (1H,dd), 7.08-7.20 (1H,m), 7.26 (1H,dd), 7.58 (0.9H,dd, Z isomer), 7.70 (0.1H,dd, E isomer), 8.42 (0.1H,dd, E isomer), 8.48 (0.9H,dd, Z isomer), 10.5 (1H,s). (NH is not observed in the spectrum)

[0421] MS m/z: 517 (M+1)

EXAMPLE 86 4-(p-Chloroanilino)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidine

[0422] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(p-chloroanilino)piperidine.

[0423]¹H-NMR (CDCl₃) d: 1.20-1.54 (2H,m), 1.85-2.20 (4H,m), 2.24-2.60 (4H,m), 2.73 (2H,m), 3.18 (1H,m), 3.77 (3H,s), 5.27 (2H,brs), 6.06 (1H,t), 6.47 (2H,m), 6.68-6.90 (3H,m), 7.07 (2H,m), 7.24 (1H,dd), 7.57 (1H,m), 8.48 (1Hdd). NH signal was not observed.

[0424] MS m/z: 476 (M+1)

EXAMPLE 89 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(p-tosyl)piperazine

[0425] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 1-(p-tosyl)piperazine.

[0426]¹H-NMR (CDCl₃) d: 2.20-2.54 (11H,m), 2.82-3.10 (4H,m), 3.73 (3H,s), 5.16 (2H,brs), 6.00 (1H,t), 6.66-6.85 (3H,m), 7.21 (1H,dd), 7.31 (2H,m), 7.51 (1H,dd), 7.61 (2H,m), 8.45 (1H,dd).

[0427] MS m/z: 506 (M+1)

EXAMPLE 90 1′-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]spiro[isobenzofuran-1 (3H), 4′-piperidine]

[0428] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with spiro[isobenzofuran-1 (3H), 4′-piperidine].

[0429]¹H-NMR (CDCl₃) d: 1.62-1.82 (2H,m), 1.92 (2H,dt), 2.25-2.85 (8H,m), 3.76 (3H,s), 5.03 (2H,s), 5.30 (2H,brs), 6.11 (1H,t), 6.68-6.90 (3H,m), 7.02-7.34 (5H,m), 7.58 (1H,dd), 8.48 (1H,dd)

[0430] MS m/z: 455 (M+1)

EXAMPLE 91 5-Chloro-1′-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]spiro[isobenzofuran-1 (3H), 4′-piperidine]

[0431] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 5-chlorospiro[isobenzofuran-1 (3H), 4′-piperidine]. 1H-NMR (CDCl₃) d: 1.69-1.74 (2H,m), 1.81-1.93 (2H,m), 2.30-2.44 (4H,m), 2.52-2.63 (2H,m), 2.71-2.75 (2H,m), 3.79 (3H,s), 5.00 (2H,s), 5.28 (2H,brs), 6.09 (1H,t), 6.73-6.84 (3H,m), 7.03 (1H,d), 7.17-7.28 (3H,m), 7.58 (1H,dd), 8.49 (1H,dd)

[0432] MS m/z: 489 (M+1)

EXAMPLE 111 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro[1]benzothiepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0433] The titled compound was prepared by following the procedure of example 45, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 5,11-dihydro[1]benzothiepino[2,3-b]pyridin-5-one. 1H-NMR (CDCl₃) d: 1.66-1.78 (3H,m), 2.04-2.65 (10H,m), 3.66 (1H,brd), 5.05 (1H,brd), 6.03 (1H,t), 7.04-7.46 (10H,m), 8.44 (1H,dd).

[0434] MS m/z: 463 (M+1)

EXAMPLE 114 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-8-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0435] The titled compound was prepared by following the procedure of example 45, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 5,11-dihydro-8-methoxy[1]benzoxepino[2,3-b]pyridin-5-one.

[0436] 1H-NMR (CDCl₃) d: 1.66-1.70 (3H,m), 1.98-2.09 (2H,m), 2.34-2.70 (8H,m), 3.75 (3H,s), 5.32 (2H,brs), 6.02 (1H,t), 6.39 (1H,d), 6.51 (1H,dd), 7.19-7.44 (6H,m), 7.57 (1H,dd), 8.49 (1H,dd).

[0437] MS m/z: 477 (M+1)

EXAMPLE 115 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-methyl[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0438] The titled compound was prepared by following the procedure of example 45, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 5,11-dihydro-7-methyl[1]benzoxepino[2,3-b]pyridin-5-one.

[0439] 1H-NMR (CDCl₃) d: 1.50 (1H,brs), 1.66-1.70 (2H,m), 1.98-2.10 (2H,m), 2.28 (3H,s), 2.34-2.42 (4H,m), 2.52-2.57 (2H,m), 2.66-2.70 (2H,m), 5.30 (2H,brs), 6.08 (1H,t), 6.76 (1H,d), 6.97 (1H,dd), 7.09 (1H,d), 7.24-7.44 (5H,m), 7.57 (1H,dd), 8.49 (1H,dd).

[0440] MS m/z: 461 (M+1)

EXAMPLE 117 1-[3-(7-Chloro-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0441] The titled compound was prepared by following the procedure of example 45, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 7-chloro-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-one. 1H-NMR (CDCl₃) d: 1.66-1.71 (3H,m), 2.00-2.10 (2H,m) 2.36-2.44 (4H,m), 2.52-2.57 (2H,m), 2.66-2.70 (2H,m), 5.32 (2H,brs), 6.13 (1H,t), 6.78 (1H,d), 7.11 (1H,dd), 7.26-7.44 (5H,m), 7.58 (1H,dd), 8.51 (1H,dd).

[0442] MS m/z: 481 (M+1)

EXAMPLE 118 1-[3-(7-Carboxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0443] A mixture of the product of example 169 (500 mg), potassium acetate (330 mg), palladium(II) diacetate (10 mg), 1,1′-bis(diphenylphosphino)ferrocene (93 mg), in dimethylsulfoxide (10 ml) was purged with carbon monoxide for 5 minutes and stirred under a carbon monoxide balloon at 60° C. for 3 hours. Water was added to the reaction mixture, the precipitation was filtered. The solid were dissolved with ethyl acetate and dilute sodium hydroxide solution. The aqueous layer was separated and neutralized with dilute hydrochloric acid. The precipitation was filtered to give the titled compound (250 mg).

[0444] 1H H-NMR (DMSO-d₆) d: 1.45-1.55 (2H,m) 1.75-1.85 (2H,m) 2.36-2.62 (8H,m), 5.42 (2H,brs), 6.21 (1H,t), 6.90 (1H,d), 7.40-7.52 (5H,m), 7.75 (1H,dd), 7.83 (1H,dd), 7.95 (1H,d), 8.56 (1H,dd)

[0445] MS m/z: 491 (M+1)

EXAMPLE 120 4-(4-Chlorophenyl)-1-[3-(7-carboxymethyl-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0446] To a solution of product of Example 290 (3.7 g) in methanol (74 ml), acetic acid (6 ml), and water (37 ml) were added sodium periodate (1.7 g) in water (15 ml) at 0° C., and the mixture was stirred at room temperature for 1 hour. To the reaction mixture were added amidosulfuric acid (1.2 g) and sodium chlorite (0.89 g) in water (10 ml), and the mixture was stirred at room temperature for 15 minutes. The reaction mixture was distilled off under reduced pressure into half volume. The residue was neutralized with 1N sodium hydroxide. The precipitation was filtered and washed with water to give the titled compound (2.6 g).

[0447]¹H-NMR (DMSO-d₆) d: 1.45-1.50 (2H,m), 1.73-1.82 (2H,m), 2.24-2.50 (8H,m), 3.50 (2H,s), 4.84 (1H,brs), 5.24 (2H,brs), 6.13 (1H,t), 6.74 (1H,d), 7.06 (1H,dd), 7.21 (1H,d), 7.33-7.48 (5H,m), 7.74 (1H,dd), 8.50 (1H,dd).

EXAMPLE 122 4-(4-Chlorophenyl)-1-[3-(7-dimethylaminocarbonylmethyl-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0448] The titled compound was prepared by following the procedure of example 134, but replacing the product of example 133 with the product of example 120. ¹H-NMR (CDCl₃) d: 1.65-1.70 (2H,m), 1.95-2.06 (2H,m), 2.31-2.66 (9H,m), 2.93 (3H,s), 3.00 (3H,s), 3.61 (2H,s), 5.29 (2H,brs), 6.09 (1H,t), 6.78 (1H,d), 7.00 (1H,dd), 7.20-7.43 (6H,m), 7.56 (1H,dd), 8.42 (1H,dd).

[0449] MS m/z: 532 (M+1)

EXAMPLE 123 1-[3-(7-(2-Carboxy)ethyl-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)-piperidin-4-ol

[0450] The titled compound was prepared by following the procedure of example 133, but replacing the product of example 48 with the product of example 288. ¹H-NMR (DMSO-d₆) d: 1.44-1.49 (2H,m), 1.70-1.82 (2H,m), 2.22-2.48 (10H,m), 2.75 (2H,t), 4.82 (1H,brs), 5.23 (2H,brs), 6.14 (1H,t), 6.71 (1H,d), 7.04 (1H,dd), 7.17 (1H,d), 7.33-7.48 (5H,m), 7.72 (1H,dd), 8.49 (1H,dd).

[0451] MS m/z: 519 (M+1)

EXAMPLE 128 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-propoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0452] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with propyl iodide.

[0453] 1H-NMR (CDCl₃) d: 1.03 (3H,t), 1.65-1.70 (2H,m), 1.78 (2H,q), 1.98-2.09 (3H,m), 2.37-2.45 (4H,m), 2.51-2.56 (2H,m), 2.66-2.70 (2H,m), 3.88 (2H,t), 5.26 (2H,brs), 6.08 (1H,t), 6.72-6.84 (3H,m), 7.23-7.43 (5H,m), 7.58 (1H,dd), 8.43 (1H,dd).

[0454] MS m/z: 505 (M+1)

EXAMPLE 130 4-(4-Chlorophenyl)-1-[3-(7-cyclopropylmethyloxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0455] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with cyclopropylmethyl bromide.

[0456]¹H-NMR (CDCl₃) d: 0.31-0.37 (2H,m), 0.60-0.67 (2H,m), 1.21-1.28 (1H,m), 1.66-1.72 (3H,m), 2.01-2.11 (2H,m), 2.37-2.71 (8H,m), 3.77 (2H,d), 5.27 (2H,brs), 6.08 (1H,t), 6.73-6.86 (3H,m), 7.23-7.44 (5H,m), 7.58 (1H,dd), 8.47 (1H,dd).

[0457] MS m/z: 517 (M+1)

EXAMPLE 131 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(2-dimetylaminoethyl)oxy)[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0458] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with 2-(dimethylamino)ethyl chloride hydrochloride.

[0459]¹H-NMR (CDCl₃) d: 1.71-1.76 (2H,m), 2.12-2.21 (2H,m), 2.38 (6H,s), 2.40-2.79 (11H,m), 4.07 (2H,t), 5.28 (2H,brs), 6.07 (1H,t), 6.74-6.86 (3H,m), 7.27-7.46 (5H,m), 7.59 (1H,dd), 8.49 (1H,dd)

[0460] MS m/z: 534 (M+1)

EXAMPLE 132 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(tetrazol-5-yl)methyloxy)[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0461] Step 1

[0462] 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(2-triphenylmethyltetrazol-5-yl)methyloxy)[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol was prepared by following the procedure of example 46, but replacing ethyl iodide with (2-triphenylmethyltetrazol-5-yl)methyl chloride.

[0463]¹H-NMR (CDCl₃) d: 1.64-1.70 (3H,m), 2.02-2.15 (2H,m), 2.35-2.71 (8H,m), 5.29 (2H,brs), 5.33 (2H,s), 6.03 (1H,t), 6.77 (1H,d), 6.83 (1H,dd), 6.96 (1H,d), 7.04-7.08 (6H,m), 7.23-7.45 (14H,m), 7.54 (1H,dd), 8.50 (1H,dd).

[0464] Step 2

[0465] A solution of the product of step 1 (530 mg) in acetone (2.5 ml), acetic acid (2.5 ml) and water (2.5 ml) was stirred at 55° C. for 30 minutes. The reaction mixture was distilled off under reduced pressure. The residue was washed with methanol to give the titled compound (280 mg).

[0466]¹H-NMR(DMSO-d₆) d: 1.69-1.74 (2H,m), 1.99-2.09 (2H,m), 2.95-3.14 (8H,m), 5.18 (2H,brs), 5.20 (2H,s), 6.14 (1H,t), 6.76 (1H,d), 6.93 (1H,dd), 7.04 (1H,d), 7.39-7.48 (5H,m), 7.78 (1H,dd), 8.52 (1H,dd).

[0467] MS m/z: 545 (M+1)

EXAMPLE 133 1-[3-(7-Carboxymethyloxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0468] To a solution of product of example 48 (3.0 9) in methanol (50 ml) was added 1N sodium hydroxide solution (8 ml) and the mixture stirred at room temperature for 1 hour. The reaction mixture was distilled off under reduced pressure. The residue was dissolved with water and neutralized with 1N hydrochloric acid. The precipitation was filtered and washed with water to give the titled compound (2.6 g).

[0469]¹H-NMR (DMSO-d₆) d: 1.48-1.53 (2H,m), 1.76-1.88 (2H,m), 2.32-2.60 (8H,m), 4.60 (2H,s), 5.18 (2H,brs), 6.16 (1H,t), 6.72-6.84 (3H,m), 7.34-7.48 (5H,m), 7.73 (1H,dd), 8.50 (1H,dd).

[0470] MS m/z: 521 (M+1)

EXAMPLE 134 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-dimethylaminocarbonylmethyloxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0471] To a solution of product of example 133 (420 mg) in dimethylformamide (17 ml) were added 1-hydroxybenzotriazol hydrate (250 mg), 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride (310 mg), dimethylamine hydrochloride (270 mg) and triethylamine (0.45 ml), and the mixture stirred at room temperature for 12 hours. Water and chloroform were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure to give the titled compound (380 mg).

[0472]¹H-NMR (CDCl₃) d: 1.67-1.71 (2H,m), 1.95-2.11 (3H,m), 2.37-2.71 (8H,m), 2.97 (3H,s), 3.08 (3H,s), 4.64 (2H,s), 5.27 (2H,brs), 6.09 (1H,t), 6.74-6.82 (2H,m), 6.93 (1H,d), 7.24-7.44 (5H,m), 7.58 (1H,dd), 8.47 (1H,dd).

[0473] MS m/z: 548 (M+1)

EXAMPLE 135 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-morpholinocarbonylmethyloxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0474] The titled compound was prepared by following the procedure of example 134, but replacing dimethylamine hydrochloride with morpholine.

[0475]¹H-NMR (CDCl₃) d: 1.67-1.71 (2H,m), 1.87 (1H,brs), 2.00-2.11 (2H,m), 2.38-2.71 (8H,m), 3.61-3.68 (8H,m), 4.65 (2H,s), 5.27 (2H,brs), 6.09 (1H,t), 6.74-6.83 (2H,m), 6.90 (1H,d), 7.25-7.44 (5H,m), 7.58 (1H,dd), 8.48 (1H,dd).

[0476] MS m/z: 590 (M+1)

EXAMPLE 138 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(1-ethoxycarbonyl-1-methylethyl)oxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0477] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with ethyl 2-bromoisobutylate.

[0478]¹H-NMR (CDCl₃) d: 1.27 (3H,t), 1.56 (6H,s), 1.63-1.71 (3H,m) 2.01-2.10 (2H,m), 2.35-2.70 (8H,m), 4.24 (2H,q), 5.28 (2H,brs), 6.05 (1H,t), 6.67-6.75 (2H,m), 6.87 (1H,d), 7.24-7.44 (5H,m), 7.56 (1H,dd), 8.49 (1H,dd).

[0479] MS m/z: 577 (M+1)

EXAMPLE 139 1-[3-(7-(1-Carboxy-1-methylethyl)oxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0480] The titled compound was prepared by following the procedure of example 133, but replacing product of example 48 with product of example 138.

[0481]¹H-NMR (DMSO-d6) d: 1.45-1.52 (8H,m), 1.79-1.85 (2H,m), 2.28-2.53 (8H,m), 5.19 (2H,brs), 6.07 (1H,t), 6.69-6.73 (2H,m), 6.85 (1H,d), 7.33-7.47 (5H,m), 7.71 (1H,dd), 8.48 (1H,dd).

[0482] MS m/z: 549 (M+1)

EXAMPLE 140 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-methoxyphenyl)piperidin-4-ol

[0483] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-methoxyphenyl)-4-hydroxypiperidine.

[0484]¹H-NMR (CDCl₃) d: 1.62-1.75 (2H,m), 2.08 (2H,dt), 2.41-2.76 (9H,m), 3.77 (3H,s), 3.78 (3H,s), 5.26 (2H,brs), 6.06 (1H,t), 6.75-6.871 (5H,m), 7.23 (1H,dd), 7.38 (2H,d), 7.57 (1H,dd), 8.45 (1H,dd).

[0485] MS m/z: 473 (M+1)

EXAMPLE 141 4-(4-Cyanophenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0486] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-cyanophenyl)-4-hydroxypiperidine.

[0487]¹H-NMR (CDCl₃) d: 1.58-1.70 (2H,m), 2.03 (2H,t), 2.31-2.64 (7H,m), 2.65-2.78 (2H,m), 3.75 (3H,s), 5.26 (2H,brs), 5.95 (0.1H,t, E isomer), 6.05 (0.9H,t, Z isomer), 6.70-6.80 (3H,m), 7.22 (1H,dd), 7.54-7.68 (5H,m), 8.31 (0.1H,dd, E iosmer), 8.39 (0.9H,dd, Z isomer).

[0488] MS m/z:468 (M+1)

EXAMPLE 142 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-hydroxyphenyl)piperidin-4-ol

[0489] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-hydroxyphenyl)-4-hydroxypiperidine.

[0490]¹HNMR (CDCl₃) d: 1.76-1.88 (2H,m). 2.08-2.22 (2H,m), 2.45-2.95 (9H,m), 3.76 (3H,s), 5.28 (2H,brs), 5.95 (0.3H,t, E isomer), 6.04 (0.7H,t, Z iosmer), 6.69-6.72 (3H,m), 6.90 (2H,d), 7.20-7.30 (3H,m), 7.56 (0.7H,dd, Z isomer), 7.67 (0.3H,dd, E isomer), 8.46 (0.7H,dd, Z isomer), 8.47 (0.3H,dd, E isomer). OH signal was not observed.

[0491] MS m/z: 473 (M+1)

EXAMPLE 143 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-fluoro-3-methylphenyl)piperidin-4-ol

[0492] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-fluoro-3-methylphenyl)-4-hydroxypiperidine.

[0493]¹H-NMR (CDCl₃) d: 1.62-1.75 (2H,m), 2.05 (1H,brs), 2.09 (2H,dt), 2.25 (3H,s), 2.30-2.76 (8H,m), 3.76 (3H,s), 5.26 (2H, brs), 5.96 (0.1H,t, E isomer), 6.07 (0.9H,t, Z isomer), 6.75-6.89 (3H,m), 6.93 (1H,t), 7.11-7.20 (0.3H,m, E isomer), 7.21-7.35 (0.24H,m, Z isomer), 7.56 (0.9H,dd, E isomer), 7.67 (0.1H, dd, E isomer), 8.38 (0.1H,dd, E isomer), 8.45 (0.9H,dd, Z isomer).

[0494] MS m/z: 475 (M+1)

EXAMPLE 144 4-(3,4-difluorophenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0495] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(3,4-difluorophenyl)-4-hydroxypiperidine.

[0496]¹H-NMR (CDCl₃) d: 1.58-1.72 (2H,m), 1.96 (2H,dt), 2.33-2.71 (8H,m), 3.73 (3H,s), 5.23 (2H,brs), 5.94 (0.1H,t, E isomer), 6.04 (0.9H,t, Z isomer), 8.38-8.36 (0.9H,m, Z isomer), 6.68-6.79 (3H,m), 6.98-7.38 (4H,m), 7.50-7.62 (0.9H,m, Z isomer), 7.63-7.68 (0.1H,m, E isomer), 8.29-8.32 (0.1H,m, E isomer), 8.32-8.44 (0.9H,m, Z isomer). OH signal was not observed.

[0497] MS m/z: 479 (M+1)

EXAMPLE 145 4-(4-Chloro-3-trifuluoromethylphenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0498] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-chloro-3-trifluoromethylphenyl)-4-hydroxypiperidine.

[0499]¹H-NMR (CDCl₃) d: 1.62-1.74 (2H,m), 2.10 (2H,dt), 2.35-2.80 (8H,m), 2.42 (1H, brs), 3.76 (3H,s), 5.26 (2H,brs), 6.07 (0.9H,t, Z isomer), 6.03 (0.1H,t, E isomer), 6.82-6.71 (3H,m), 7.24 (1H,dd), 7.43 (1H,d), 7.56 (1.8H,dd, Z isomer), 7.65 (0.2H,dd, E isomer) 7.83 (1H,d), 8.36 (0.1H,dd, E isomer), 8.44 (0.9H,dd, Z iosmer),

[0500] MS m/z: 545 (M+1)

EXAMPLE 146 4-(3,5-dichlorophenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0501] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(3,5-dichlorophenyl)-4-hydroxypiperidine.

[0502]¹H-NMR (CDCl₃) d: 1.58-2.22 (5H,m), 2.38-2.77 (8H,m), 3.76 (3H,s), 5.26 (2H,brs), 5.92 (0.1H,t, E isomer), 6.07 (0.9H,t, Z isomer), 6.83-6.71 (3H,m), 7.19-7.42 (4H,m), 7.56 (0.9H,dd, Z isomer), 7.68 (0.1H,dd, E isomer), 8.38 (0.1H,dd, E isomer), 8.45 (0.9H,dd, Z isomer).

[0503] MS m/z: 512 (M+1)

EXAMPLE 147 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(2-pyridyl)piperidin-4-ol

[0504] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(2-pyridyl)-4-hydroxypiperidine

[0505]¹H-NMR (CDCl₃) d: 1.54-1.65 (2H,m), 2.06 (2H,dt), 2.07 (1H,brs), 2.35-2.62 (7H,m), 2.73-2.87 (2H,m), 3.78 (3H,s), 5.28 (2H, brs), 6.08 (1H,t), 6.72-6.85 (3H,m), 7.14-7.29 (2H,m), 7.57 (1H,d), 7.70 (1H,dd), 8.48 (2H,dd).

[0506] MS m/z: 444 (M+1)

EXAMPLE 148 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(3-pyridyl)piperidin-4-ol

[0507] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(3-pyridyl)-4-hydroxypiperidine.

[0508]¹H-NMR (CDCl₃) d: 1.65-1.78 (2H,m), 2.08 (2H,dt), 2.37-2.88 (7H,m), 2.63-2.79 (2H,m), 3.78 (3H,s), 5.28 (2H, brs), 6.02 (0.1H,t, E isomer), 6.07 (0.9H,t, Z isomer), 6.70-6.84 (3H,m), 7.22-7.32 (3H,m), 7.56 (1H,dd), 7.77 (1H,dd), 8.46 (0.9H,d), 8.57 (0.1H,dd, E isomer), 8.73 (1H,dd).

[0509] MS m/z: 444 (M+1)

EXAMPLE 149 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-pyridyl)piperidin-4-ol

[0510] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-pyridyl)-4-hydroxypiperidine.

[0511]¹H-NMR (CDCl₃) d: 1.58-1.72 (2H,m), 2.03 (2H,dt), 2.34-2.89 (8H,m), 2.96 (1H,brs), 3.76 (3H,s), 5.25 (2H, brs), 6.06 (1H,t), 6.72-6.83 (3H,m), 7.24 (1H,dd), 7.37 (2H,dd), 7.56 (1H,dd), 8.45 (1H,dd), 8.48 (2H,dd).

[0512] MS m/z: 444 (M+1)

EXAMPLE 150 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-trifluoromethylphenyl)piperidin-4-ol

[0513] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-trifluoromethylphenyl)-4-hydroxypiperidine.

[0514]¹H-NMR (CDCl₃) d: 1.64-1.75 (2H,m), 2.01 (1H, brs), 2.16 (2H,dt), 2.38-2.86 (8H,m), 3.76 (3H,s), 5.26 (2H,brs), 6.04 (1H,t), 6.72-6.84 (3H,m), 7.23 (1H,dd), 7.56 (5H,m), 8.42 (1H,dd).

[0515] MS m/z: 511 (M+1)

EXAMPLE 151 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-hydroxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidine

[0516] The titled compound was prepared by following the procedure of example 44, step 2, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-chlorophenyl)piperidine.

[0517]¹H-NMR (CDCl₃) d: 1.62-1.92 (4H,m), 1.94-2.18 (2H,m), 2.28-2.64 (5H,m), 2.99 (2H,m), 5.25 (2H,brs), 6.00 (1H,t), 6.60-6.82 (3H,m), 7.02-7.36 (5H,m), 7.50 (1H,dd), 8.47 (1H,dd). OH signal was not observed.

[0518] MS m/z: 447 (M+1)

EXAMPLE 152 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-ethoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidine

[0519] The titled compound was prepared by following the procedure of example 46, but replacing the product of example 44 with the product of example 151.

[0520]¹H-NMR (CDCl₃) d: 1.40 (3H,t), 1.52-2.14 (6H,m), 2.30-2.57 (5H,m), 2.94 (2H,m), 4.00 (2H,q), 5.28 (2H,brs), 6.07 (1H,t), 6.68-6.86 (3H,m), 7.05-7.36 (5H,m), 7.58 (1H,m), 8.49 (1H,m).

[0521] MS m/z: 475 (M+1)

EXAMPLE 153 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-ethoxycarbonylmethyloxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidine

[0522] The titled compound was prepared by following the procedure of example 48, but replacing the product of example 44 with the product of example 151.

[0523]¹H-NMR (CDCl₃) d: 1.29 (3H,t), 1.56-1.85 (4H,m), 1.99 (2H,dt), 2.28-2.55 (5H,m), 2.91 (2H,m), 4.27 (2H,q), 4.58 (2H,s), 5.28 (2H,brs), 6.09 (1H,t), 6.68-6.95 (3H,m), 7.07-7.32 (5H,m), 7.58 (1H,dd), 8.49 (1H,dd).

[0524] MS m/z: 533 (M+1)

EXAMPLE 154 1-[3-(7-(Carboxymethyloxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidine

[0525] The titled compound was prepared by following the procedure of example 133, but replacing the product of example 48 with the product of example 153.

[0526]¹H-NMR (CD₃OD) d: 1.82-2.17 (4H,m), 2.69 (2H,m), 2.86 (1H,m), 3.07 (2H,m), 3.30 (2H,m), 3.57 (2H,m), 4.57 (2H,s), 5.21 (2H,brs), 6.10 (1H,t), 6.70-7.04 (3H,m), 7.16-7.38 (4H,m), 7.44 (1H,m), 7.77 (1H,m), 8.47 (1H,m). COOH signal was not observed.

[0527] MS m/z: 505 (M+1)

EXAMPLE 155 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-dimethylaminocarbonylmethyloxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidine

[0528] The titled compound was prepared by following the procedure of example 134, but replacing the product of example 133 with the product of example 154.

[0529]¹H-NMR (CDCl₃) d: 1.58-1.92 (4H,m), 2.04 (2H,m), 2.30-2.68 (5H,m), 2.93 (2H,m), 2.98 (3H,s), 3.08 (3H,s), 4.65 (2H,s), 5.28 (2H,brs), 6.07 (1H,t), 6.70-6.98 (3H,m), 7.08-7.36 (5H,m), 7.60 (1H,m), 8.50 (1H,m).

[0530] MS m/z: 532 (M+1)

EXAMPLE 156 1-[3-(7-(2-Acetoxyethyl)oxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidine

[0531] The titled compound was prepared by following the procedure of example 50, but replacing the product of example 44 with the product of example 151.

[0532]¹H-NMR (CDCl₃) d: 1.55-1.88 (4H,m), 1.90-2.32 (2H,m) 2.10 (3H,s), 2.28-2.60 (5H,m), 2.82-3.02 (2H,m), 4.14 (2H,dd), 4.41 (2H,dd), 5.29 (2H,brs), 6.08 (1H,t), 6.72-6.90 (3H,m), 7.18-7.34 (5H,m), 7.57 (1H,m), 8.50 (1H,m).

[0533] MS m/z: 533 (M+1)

EXAMPLE 157 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(2-hydroxyethyl)oxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidine

[0534] The titled compound was prepared by following the procedure of example 51, but replacing the product of example 50 with the product of example 156.

[0535]¹H-NMR (CD₃OD) d: 1.66-1.98 (4H,m), 2.40-2.73 (5H,m), 2.82-2.94 (2H,m), 3.22 (2H,m), 3.84 (2H,dd), 4.01 (2H,dd), 5.23 (2H,brs), 6.13 (1H,t), 6.64-6.98 (3H,m), 7.13-7.34 (4H,m), 7.45 (1H,m), 7.77 (1H,m), 8.47 (1H,m). OH signal was not observed.

[0536] MS m/z: 491 (M+1)

EXAMPLE 158 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(1-ethoxycarbonyl-1-methylethyl)oxy[1]benzoxepino [2,3-b]pyridin-5-ylidene)propyl]piperidine

[0537] The titled compound was prepared by following the procedure of example 138, but replacing the product of example 44 with the product of example 151.

[0538]¹H-NMR (CDCl₃) d: 1.28 (3H,t), 1.56 (6H,s), 1.56-1.85 (4H,m) 1.97 (2H,dt), 2.28-2.55 (5H,m), 2.93 (2H,m), 4.24 (2H,q), 5.28 (2H,brs), 6.04 (1H,t), 6.62-6.95 (3H,m), 7.07-7.32 (5H,m), 7.57 (1H,dd), 8.50 (1H,dd).

[0539] MS m/z: 561 (M+1)

EXAMPLE 159 1-[3-(7-(1-Carboxy-1-methylethyl)oxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl) piperidine

[0540] The titled compound was prepared by following the procedure of example 133, but replacing the product of example 48 with the product of example 158.

[0541]¹H-NMR (CD₃OD) d: 1.50 (6H, s), 1.82-2.18 (4H,m), 2.70 (2H,m) 2.87 (1H,m), 3.12 (2H,m), 3.30 (2H,m), 3.60 (2H,m), 5.25 (2H,brs), 6.07 (1H,t), 6.67-7.04 (3H,m), 7.16-7.38 (4H,m), 7.58 (1H,m), 7.96 (1H,m), 8.52 (1H,m). COOH signal was not observed.

[0542] MS m/z: 533 (M+1)

EXAMPLE 160 1-[3-(8-Bromo-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidine

[0543] The titled compound was prepared by following the procedure of example 65, but replacing the product of example 45, step 2 with the product of example 54, step 1.

[0544]¹H-NMR (CDCl₃) d: 1.50-1.86 (4H,m), 1.98 (2H,m), 2.26-2.60 (5H,m), 2.88 (2H,m), 5.30 (2H,brs), 6.09 (1H,t), 6.96-7.36 (8H,m), 7.57 (1H,dd), 8.51 (1H,dd).

[0545] MS m/z: 509, 511 (M+1)

EXAMPLE 161 1-[3-(8-Carboxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidine

[0546] To a solution of 1-[3-(8-Bromo-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidine (Example 161) (130 mg) in THF(1.0 ml) was added 1.6M n-butyllithium hexane solution (0.17 ml) at −78° C. After stirring 10 minutes at the same temperature, CO₂ (dry-ice) was added to the mixture. After being warmed to ambient temperature, the mixture was stirred for 30 minutes at the same temperature. The mixture was concentrated in vacuo. The resulting oil was purified by silica gel chromatography eluted with dichloromethane-methanol (5:1) to give the titled compound

[0547]¹H-NMR (CD₃OD) d: 1.55-1.95 (4H,m), 2.17 (2H,dt), 2.32-2.78 (5H,m), 3.00 (2H,m), 5.30 (2H,brs), 6.19 (1H,t), 7.08-7.54 (8H,m), 7.76 (1H,dd), 8.45 (1H,dd). COOH signal was not observed (50 mg).

[0548] MS m/z: 475 (M+1)

EXAMPLE 162 1-[3-(7-Bromo-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0549] The titled compound was prepared by following the procedure of example 45, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 8-bromo-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-one.

[0550] 1H-NMR (CDCl₃) d: 1.60-1.71 (3H,m), 1.98-2.09 (2H,m), 2.34-2.69 (8H,m), 5.32 (2H,brs), 6.13 (1H,t), 6.73 (1H,d), 7.22-7.44 (7H,m), 7.57 (1H,dd), 8.52 (1H,dd).

[0551] MS m/z: 525, 527 (M+1)

EXAMPLE 163 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-ethyl[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0552] The titled compound was prepared by following the procedure of example 45, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 5,11-dihydro-7-ethyl[1]benzoxepino[2,3-b]pyridin-5-one.

[0553] 1H-NMR (CDCl₃) d: 1.23 (3H,t), 1.52 (1H,brs), 1.66-1.71 (2H,m), 1.98-2.06 (2H,m), 2.35-2.70 (11H,m), 5.31 (2H,brs), 6.09 (1H,t), 6.79 (1H,d), 7.01 (1H,dd), 7.11 (1H,d), 7.25-7.44 (5H,m), 7.58 (1H,dd), 8.49 (1H,dd).

[0554] MS m/z: 475 (M+1)

EXAMPLE 164 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-8-vinyl[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0555] The titled compound was prepared by following the procedure of example 45, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 5,11-dihydro-8-vinyl[1]benzoxepino[2,3-b]pyridin-5-one. 1H-NMR (CDCl₃) d: 1.66-1.71 (3H,m), 2.00-2.10 (2H,m) 2.36-2.70 (8H,m), 5.22 (2H,d), 5.34 (2H,brs), 5.70 (1H,d), 6.11 (1H,t), 6.61 (1H,dd), 6.89 (1H,d), 6.99 (1H,dd), 7.24-7.44 (6H,m), 7.58 (1H,dd), 8.49 (1H,dd).

[0556] MS m/z: 473 (M+1)

EXAMPLE 165 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-8-ethyl[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0557] A mixture of the product of example 164 (100 mg) and Pd-C (20 mg) in ethanol(2 ml) stirred under a hydrogen balloon at room temperature for 1 hour. The mixture was filtered through the celite and distilled off under reduced pressure. The residue was purified by preparative thin layer chromatography eluting with chloroform-methanol (15:1) to give the titled compound (50 mg).

[0558] 1H-NMR (CDCl₃) d: 1.22 (3H,t), 1.55-1.77 (3H,m), 2.00-2.13 (2H,m), 2.33-2.74 (10H,m), 5.32 (2H,brs), 6.07 (1H,t), 6.70 (1H,d), 6.78 (1H,dd), 7.19-7.44 (6H,m), 7.57 (1H,dd), 8.49 (1H,dd).

[0559] MS m/z: 475 (M+1)

EXAMPLE 166 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-9-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0560] The titled compound was prepared by following the procedure of example 45, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 5,11-dihydro-9-methoxy[1]benzoxepino[2,3-b]pyridin-5-one.

[0561] 1H-NMR (CDCl₃) d: 1.65-1.70 (2H,m), 1.95-2.06 (2H,m), 2.15 (1H,brs), 2.37-2.67 (8H,m), 3.83 (3H,s), 5.43 (2H,brs), 6.09 (1H,t), 6.79-6.91 (3H,m), 7.22-7.43 (5H,m), 7.57 (1H,dd), 8.44 (1H,dd).

[0562] MS m/z: 477 (M+1)

EXAMPLE 167 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro[1]benzoxepino[4,3-c]pyridin-5-ylidene)propyl]piperidin-4-ol

[0563] The titled compound was prepared by following the procedure of example 45, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 5,11-dihydro[1]benzoxepino[4,3-c]pyridin-5-one.

[0564] 1H-NMR (CDCl₃) d: 1.67-1.71 (2H,m), 1.97-2.08 (2H,m), 2.16 (1H,s), 2.40-2.69 (8H,m), 5.16 (2H,brs), 6.14 (1H,t), 6.80 (1H,dd), 6.91-6.97 (1H,m), 7.13-7.19 (1H,m), 7.26-7.44 (6H,m), 7.50-8.54 (2H,m).

[0565] MS m/z: 447 (M+1)

EXAMPLE 168 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro[1]benzoxepino[4,3-d]pyrimidin-5-ylidene)propyl]piperidin-4-ol

[0566] The titled compound was prepared by following the procedure of example ⁴5, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 5,11-dihydro[1]benzoxepino[4,3-d]pyrimidin-5-one.

[0567] 1H-NMR (CDCl₃) d: 1.68-1.72 (2H,m), 1.90 (1H,brs), 2.06-2.19 (2H,m), 2.41-2.78 (8H,m), 5.20 (2H,s), 6.12 (1H,t), 7.14-7.45 (8H,m), 8.72 (1H,s), 8.97 (1H,s).

[0568] MS m/z: 448 (M+1)

EXAMPLE 169 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-trifluoromethanesulfonyloxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0569] To a solution of product of example 44 (1.0 g) in pyridine (10 ml) was added trifluoromethanesulfonic acid anhydride (0.55 ml) at 0° C., and the mixture was stirred at room temperature for 1 hour. Water and diethyl ether were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure, and the residue was purified by silica gel chromatography eluting with ethyl acetate-methanol (10:1) to give the titled compound (1.1 g).

[0570] 1H-NMR (CDCl₃) d: 1.56 (1H,brs), 1.66-1.71 (2H,m), 1.97-2.09 (2H,m), 2.35-2.69 (8H,m), 5.35 (2H,brs) 6.15 (1H,t), 6.88 (1H,d), 7.05 (1H,dd), 7.21-7.44 (6H,m), 7.60 (1H,dd), 8.54 (1H,dd).

[0571] MS m/z: 595 (M+1)

EXAMPLE 170 1-[3-(7-Allyl-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0572] To a mixture of the product of example 169 (240 mg), allyltributyltin (0.19 ml), dichlorobis(triphenylphosphine)palladium(II) (30 mg), lithium chloride (76 mg), in dimethylformamide (3 ml) under argon at 120° C. for 2 hours. Aqueous ammonium fluoride solution and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure, and the residue was purified by silica gel chromatography eluting with chloroform-methanol (10:1) to give the titled compound (180 mg).

[0573] 1H-NMR (CDC13) d: 1.62-1.72 (3H,m), 2.03-2.11 (2H,m), 2.39-2.73 (8H,m), 3.31 (2H,d), 5.04-5.11 (2H,m), 5.29 (2H,brs), 5.87-6.02 (1H,m), 6.06 (1H,t), 6.77 (1H,d), 6.99 (1H,dd), 7.10 (1H,d), 7.23-7.43 (5H,m), 7.57 (1H,dd), 8.40 (1H,dd).

EXAMPLE 171 1-[3-(7-(2-t-Butoxycarboxy)ethenyl-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0574] A mixture of the product of example 169 (1.7 g), t-butyl acrylate (0.85 ml), triethylamine (2.5 ml), 1,1′-bis(diphenylphosphino)ferrocene (250 mg) and palladium(II) diacetate (33 mg) in dimethylformamide (3 ml) under argon at 90° C. for 24 hours. Water ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure, and the residue was purified by silica gel chromatography eluting with ethyl acetate-methanol (30:1) to give the titled compound (780 mg).

[0575] 1H-NMR (CDCl₃) d: 1.45 (9H,s), 1.63-1.71 (3H,m), 1.98-2.10 (2H,m), 2.35-2.72 (8H,m), 5.35 (2H,brs), 6.15 (1H,t), 6.26 (1H,d), 6.83 (1H,d), 7.22-7.44 (7H,m), 7.53 (1H,d), 7.58 (1H,dd), 8.52 (1H,dd).

EXAMPLE 172 1-[3-(7-(2-Carboxy)ethenyl-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0576] The product of example 171 (330 mg) was dissolved with 4N hydrochloric acid 1,4-dioxane solution (4 ml), and stirred at room temperature for 1 hour. The solvent was distilled off under reduced pressure. Water was added to the residue, and neutralized with sodium hydroxide solution. The precipitation was filtered to give the titled compound (190 mg).

[0577] 1H-NMR (DMSO-d₆) d: 1.45-1.52 (2H,m), 1.72-1.84 (2H,m), 2.25-2.58 (8H,m), 5.25 (2H,brs), 6.28 (1H,t), 6.43 (1H,d), 6.82 (1H,d), 7.34-7.60 (8H,m), 7.75 (1H,dd), 8.52 (1H,dd).

EXAMPLE 173 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-propargyloxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0578] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with propargyl chloride. 1H-NMR (CDCl₃) d: 1.66-1.71 (2H,m), 1.79 (1H,brs), 1.99-2.10 (2H,m), 2.35-2.71 (9H,m), 4.66 (2H,d), 5.28 (2H,brs), 6.10 (1H,t), 6.80-6.93 (3H,m), 7.24-7.46 (5H,m), 7.59 (1H,dd), 8.48 (1H,dd).

[0579] MS m/z: 501 (M+1)

EXAMPLE 174 4-(4-Chlorophenyl)-1-[3-(7-cyclopentoxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0580] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with cyclopentyl bromide.

[0581] 1H-NMR (CDCl₃) d: 1.54-2.18 (13H,m), 2.41-2.72 (8H,m), 4.66-4.73 (1H,m), 5.27 (2H,brs), 6.08 (1H,t), 6.70-6.87 (3H,m), 7.23-7.44 (5H,m), 7.58 (1H,dd), 8.49 (1H,dd).

[0582] MS m/z: 531 (M+1)

EXAMPLE 175 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(2-methoxyethyl)oxy)[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0583] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with 2-methoxyethyl chloride.

[0584] 1H-NMR (CDCl₃) d: 1.66-1.75 (3H,m), 2.00-2.11 (2H,m) 2.36-2.71 (8H,m), 3.45 (3H,s), 3.71-3.75 (2H,m), 4.07-4.11 (2H,m), 5.27 (2H,brs), 6.09 (1H,t), 6.75-6.91 (3H,m), 7.23-7.44 (5H,m), 7.57 (1H,dd), 8.48 (1H,dd)

[0585] MS m/z: 521 (M+1)

EXAMPLE 176 4-(4-Chlorophenyl)-1-[3-(7-(1-dimethyaminocarbonyl-1-methyl)ethyloxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0586] The titled compound was prepared by following the procedure of example 134, but replacing the product of example 133 with the product of example 139.

[0587] 1H-NMR (CDCl₃) d: 1.59 (6H,s), 1.67-1.72 (2H,m), 1.99-2.09 (2H,m), 2.36-2.70 (9H,m), 2.96 (3H,s), 3.21 (3H,s), 5.25 (2H,brs), 6.02 (1H,t), 6.60-6.77 (3H,m), 7.24-7.44 (5H,m), 7.58 (1H,dd), 8.44 (1H,dd).

[0588] MS m/z: 576 (M+1)

EXAMPLE 177 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(1-ethoxycarbonylethyl)oxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0589] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with ethyl 2-bromopropionate. 1H-NMR (CDCl₃) d: 1.25 (3H,t), 1.59 (3H,d), 1.65-1.70 (2H,m) 1.98-2.08 (2H,m), 2.35-2.68 (8H,m), 2.80 (1H,brs), 4.21 (2H,q), 4.68 (1H,q), 5.24 (2H,brs), 6.07 (1H,t), 6.68-6.79 (2H,m), 6.88 (1H,d), 7.22-7.44 (5H,m), 7.56 (1H,dd), 8.40 (1H,dd)

EXAMPLE 178 1-[3-(7-(1-Carboxyethyl)oxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0590] The titled compound was prepared by following the procedure of example 133, but replacing product of example 48 with product of example 177.

[0591] 1H-NMR (DMSO-d₆) d: 1.46 (3H,d), 1.58-1.63 (2H,m), 1.98-2.06 (2H,m), 2.41-2.45 (2H,m), 2.72-2.86 (6H,m), 4.74 (1H,q), 5.18 (2H,brs), 6.11 (1H,t), 6.73 (2H,s), 6.84 (1H,s), 7.36-7.47 (5H,m), 7.73 (1H,dd), 8.50 (1H,dd).

[0592] MS m/z: 535 (M+1)

EXAMPLE 179 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(1-ethoxycarbonyl)cyclobutoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0593] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with ethyl 2-bromocyclobutanecarboxylate.

[0594] 1H-NMR (CDCl₃) d: 1.19 (3H,t), 1.67-1.71 (2H,m), 1.92-2.11 (5H,m), 2.33-2.77 (12H,m), 4.21 (2H,q), 5.25 (2H,brs), 6.05 (1H,t), 6.47 (1H,dd), 6.70 (1H,d), 6.73 (1H,d), 7.23-7.44 (5H,m), 7.55 (1H,dd), 8.44 (1H,dd).

EXAMPLE 180 1-[3-(7-(1-Carboxy)cyclbutoxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0595] The titled compound was prepared by following the procedure of example 133, but replacing product of example 48 with product of example 179.

[0596] 1H-NMR (DMSO-d₆) d: 1.60-1.65 (2H,m), 1.86-2.08 (4H,m) 2.24-2.90 (12H,m), 5.17 (2H,brs), 6.05 (1H,t), 6.50 (1H,dd), 6.66 (1H,d), 6.73 (1H,d), 7.37-7.48 (5H,m), 7.74 (1H,dd), 8.51 (1H,dd)

[0597] MS m/z: 561 (M+1)

EXAMPLE 181 1-[3-(7-Carbamoylmethyloxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0598] The titled compound was prepared by following the procedure of example 134, but replacing dimethylamine hydrochloride with ammonium hydroxide.

[0599] 1H-NMR (CDCl₃) d: 1.66-1.71 (2H,m)_(,) 1.98-2.09 (2H,m), 2.21 (1H,brs), 2.38-2.70 (8H,m), 4.45 (2H,s), 5.28 (2H,brs), 6.09 (1H,t), 6.11 (1H,brs), 6.58 (1H,brs), 6.74-6.85 (3H,m), 7.24-7.44 (5H,m), 7.58 (1H,dd), 8.47 (1H,dd).

[0600] MS m/z: 520 (M+1)

EXAMPLE 182 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-methylaminocarbonylmethyloxy[1]benzoxepino[2,3-b]pyridin-5 -ylidene)propyl]piperidin-4-ol

[0601] The titled compound was prepared by following the procedure of example 134, but replacing dimethylamine hydrochloride with methylamine.

[0602] 1H-NMR (CDCl₃) d: 1.67-1.72 (2H,m), 1.99-2.10 (2H,m), 2.36-2.70 (9H,m), 2.89 (3H,d), 4.45 (2H,s), 5.28 (2H,brs), 6.08 (1H,t), 6.66 (1H,brs), 6.73-6.84 (3H,m), 7.25-7.45 (5H,m), 7.58 (1H,dd), 8.47 (1H,dd).

[0603] MS m/z: 534 (M+1)

EXAMPLE 183 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-3-c][1]benzoxepiepin-5-ylidene)propyl]-4-(4-hydroxyphenyl)piperidine

[0604] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-hydroxyphenyl)piperidine.

[0605] 1H-NMR (CDCL3) d: 1.52-1.88 (4H,m), 2.01 (2H,dt), 2.28-2.60 (5H,m), 2.93 (2H,m), 3.79 (3H,s), 5.28 (2H,brs), 6.08 (1H,t), 6.68-6.88 (3H,m), 7.05-7.36 (5H,m), 7.58 (1H,dd), 8.50 (1H,dd).

[0606] MS m/z: 461 (M+1)

EXAMPLE 184 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-3-c][1]benzoxepiepin-5-ylidene)propyl]-4-(2-hydroxyphenyl)piperidine

[0607] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(2-hydroxyphenyl)piperidine.

[0608]¹H-NMR (CDCl₃) d: 1.78-1.92 (4H,m), 2.12-2.25 (2H,m), 2.32-2.70 (4H,m), 2.80-2.97 (1H,m), 3.01-3.15 (2H,m), 3.77 (3H,s), 3.78 (1H,brs), 5.28 (2H,brs), 6.03 (1H,t), 6.74-6.86 (4H,m), 7.05 (1H,dd), 7.11 (1H,dd), 7.23-7.28 (2H,m), 7.56 (1H,dd), 8.48 (1H,dd), OH signal was not observed.

[0609] MS m/z: 443 (M+1)

EXAMPLE 185 4-(7-Chloro-1,2-benzisoxazol-3-yl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidine

[0610] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(7-chloro-1,2-benzisoxazol-3-yl) piperidine. This piperidine was prepared by the same method described in J. Med. Chem. 28:761-769 (1985).

[0611]¹H-NMR (CDCl₃) d: 1.94-2.20 (6H,m), 2.30-2.60 (4H,m), 2.86-3.14 (3H,m), 3.79 (3H,s), 5.29 (2H,brs), 6.10 (1H,t), 6.70-6.88 (3H,m), 7.22 (1H,t), 7.27 (1H,dd), 7.50 (1H,dd), 7.57-7.68 (2H,m), 8.49 (1H,dd).

EXAMPLE 186 4-(7-Chloroindol-3-yl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidine

[0612] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(7-chloroindol-3-yl)piperidine. This piperidine was prepared by the same method described in J. Med. Chem. 36:4006-4014 (1993) and following hydrogenation described in Example 58, step 3.

[0613]¹H-NMR(CDCl₃) d: 1.66-1.88 (2H,m), 1.92-2.22 (4H,m), 2.32-2.63 (4H,m), 2.78 (1H,m), 2.97 (2H,m), 3.79 (3H,s), 5.29 (2H,brs), 6.09 (1H,t), 6.70-6.87 (3H,m), 6.97-7.07 (2H,m), 7.12-7.30 (2H,m), 7.52 (1H,m), 7.59 (1H,dd), 8.45 (1H,brs), 8.50 (1H,dd).

EXAMPLE 187 4-Azido-4-(4-chlorophenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidine

[0614] Step 1

[0615] 4-azido-4-(4-chlorophenyl)piperidine (15):

[0616]FIG. 8b To a cold (0° C.) solution of 1 (3.0 g, 14 mmol) in anhydrous dioxane (15 mL) under an inert atmosphere was added NaN₃ (1.0 g, 15.4 mmol) followed by the slow dropwise addition of and BF₃.OEt (4.4 mL, 35 mmol). The reaction was stirred at 0° C. for 3 hrs and was quenched at 0° C. by the slow careful addition of saturated aqueous NaHCO₃ to basicity. The organic layer was separated and dried over Na₂SO₄. The reaction mixture was purified via silica gel flash chromatography eluting a 2 g 1:3 mixture of azidopiperidine 2 and olefin 3 with 2% MeOH/CH₂Cl₂. The mixture was taken directly on to the next reaction.

[0617] Step 2

[0618] The titled compound was prepared by then following the procedure of example 45, step 3, with the above reaction mixture (thereby replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-azido-4-(4-chlorophenyl)piperidine)), but limiting the amount of bromide to 0.25 equivalents.

[0619]¹H-NMR (CDCL₃) d: 1.88 (2H,m), 2.55-2.85 (4H,m), 3.00-3.30 (6H,m). 3.75 (3H,s), 5.19 (2H,brs), 5.97 (1H,t), 6.68-6.65 (3H,m), 7.20-7.46 (5H,m), 7.63 (1H,dd), 8.35 (1H,dd).

[0620] MS m/z: 477 (M+1−N₂+H₂)

EXAMPLE 188 Methyl 1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-phenylpiperidin-4-carboxylate

[0621] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with methyl 4-phenylpiperidin-4-carboxylate.

[0622]¹H-NMR (CDCl₃) d: 1.82-2.15 (4H,m), 2.28-2.60 (6H,m), 2.78-2.82 (2H,m), 3.62 (3H,s), 3.68 (3H,s), 5.26 (2H,brs), 5.95 (0.1H,t, E isomer), 6.05 (0.9H,t, Z isomer), 6.82-6.70 (3H,m), 7.33-7.22 (6H,m), 7.65 (0.1H,dd, Z isomer), 7.55 (0.9H,dd, Z isomer), 8.39 (0.1H, E isomer), 8.48 (0.9H,dd, Z isomer).

[0623] MS m/z: 485 (M+1)

EXAMPLE 189 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-phenylpiperidin-4-carboxylic acid

[0624] The titled compound was prepared by following the procedure of example 133, but replacing product of example 48 with product of example 188.

[0625]¹H-NMR (CD₃OD) d: 2.16-2.23 (2H,m), 2.69-2.91 (4H,m), 3.00-3.16 (2H,m), 3.37-3.25 (2H,m), 3.68-3.73 (2H,m), 3.76 (3H,s), 5.34 (2H,brs), 6.24 (1H,t), 6.70-7.04 (3H,m), 7.26-7.55 (5H,m), 7.79-7.89 (1H,m), 8.21-8.34 (1H,m), 8.56-8.62 (0.1H,m), 8.63-8.77 (0.9H,m),

[0626] MS m/z: 471 (M+1)

EXAMPLE 190 1-(2-Chlorophenylsulfonyl)-4-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperazine

[0627] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 1-(2-chlorophenylsulfonyl)piperazine.

[0628]¹H H-NMR (CDCl₃) d: 2.20-2.58 (8H,m), 3.12-3.38 (4H,m), 3.76 (3H,s), 5.22 (2H,brs), 6.03 (1H,t), 6.64-6.90 (3H,m), 7.23 (1H,dd), 7.32-7.60 (4H,m), 8.01 (1H,dd), 8.48 (1H,dd).

[0629] MS m/z: 526 (M+1)

EXAMPLE 191 1-(3-Chlorophenylsulfonyl)-4-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperazine

[0630] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 1-(3-chlorophenylsulfonyl)piperazine.

[0631]¹H-NMR (CDCl₃) d: 2.20-2.60 (8H,m), 2.82-3.12 (4H,m), 3.76 (3H,s), 5.18 (2H,brs), 6.00 (1H,t), 6.64-6.90 (3H,m), 7.23 (1H,dd), 7.42-7.78 (5H,m), 8.48 (1H,dd).

[0632] MS m/z: 526 (M+1)

EXAMPLE 192 1-(4-Chlorophenylsulfonyl)-4-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperazine

[0633] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 1-(4-chlorophenylsulfonyl)piperazine.

[0634]¹H-NMR (CDCl₃) d: 2.20-2.56 (8H,m), 2.82-3.10 (4H,m) 3.76 (3H,s), 5.18 (2H,brs), 5.99 (1H,t), 6.62-6.92 (3H,m), 7.23 (1H,dd), 7.42-7.78 (5H,m), 8.48 (1H,dd).

[0635] MS m/z: 526 (M+1)

EXAMPLE 193 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-hydroxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-1,2,3,6-tetrahydropyridine

[0636] The titled compound was prepared by following the procedure of example 44, step 2, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-chlorophenyl)-1,2,3,6-tetrahydropyridine.

[0637]¹H-NMR (CDCl₃) d: 2.37-2.72 (8H,m), 3.07 (2H,m), 5.25 (2H,brs), 6.00 (1H,m), 6.07 (1H,t), 6.60-6.78 (3H,m), 7.18-7.47 (5H,m), 7.56 (1H,dd), 8.50 (1H,dd). OH signal was not observed.

[0638] MS m/z: 445 (M+1)

EXAMPLE 194 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-1,2,3,6-tetrahydropyridine

[0639] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-chlorophenyl)-1,2,3,6-tetrahydropyridine.

[0640]¹H-NMR (CDCl₃) d: 2.37-2.72 (8H,m), 3.06 (2H,m), 3.78 (3H,s), 5.27 (2H,brs), 5.99 (1H,m), 6.10 (1H,t), 6.72-6.90 (3H,m), 7.20-7.44 (5H,m), 7.60 (1H,dd), 8.50 (1H,dd).

[0641] MS m/z: 459 (M+1)

EXAMPLE 195 4-(7-Chloroindol-3-yl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-1,2,3,6-tetrahydropyridine.

[0642] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(7-chloroindol-3-yl)-1,2,3,6-tetrahydropyridine. This piperidine was prepared by the same method described in J. Med. Chem. 36:4006-4014 (1993).

[0643]¹H-NMR (CDCl₃) d: 2.37-2.76 (8H,m), 3.14 (2H,m), 3.78 (3H,s), 5.29 (2H,brs), 6.02-6.23 (2H,m), 6.67-6.90 (3H,m), 7.05 (1H,dd), 7.12-7.33 (3H,m), 7.60 (1H,dd), 7.77 (1H,m), 8.50 (1H,dd), 9.06 (1H,br s).

EXAMPLE 196 5-Chloro-1′-[3-(5,11-dihydro-7-hydroxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]spiro[isobenzofuran-1 (3H), 4′-piperidine]

[0644] The titled compound was prepared by following the procedure of example 44, step 2, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 5-chlorospiro[isobenzofuran-1 (3H), 4′-piperidine].

[0645] 1H-NMR (CDCl₃) d: 1.66-1.71 (2H,m), 1.79-1.91 (2H,m), 2.26-2.73 (8H,m), 4.99 (2H,s), 5.22 (2H,brs), 6.07 (1H,t), 6.63-6.70 (2H,m), 6.76 (1H,d), 7.06 (1H,d), 7.19-7.32 (3H,m), 7.60 (1H,dd), 8.47 (1H,dd), 8.63 (1H,s).

[0646] MS m/z: 475 (M+1)

EXAMPLE 197 5-Chloro-1′-[3-(5,11-dihydro-7-(2-methoxyethyl)oxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]spiro[isobenzofuran-1 (3H), 4′-piperidine]

[0647] The titled compound was prepared by following the procedure of example 175, but replacing the product of example 44 with the product of example 196.

[0648] 1H-NMR (CDCl₃) d: 1.69-1.74 (2H,m) 1.83-1.94 (2H,m) 2.31-2.76 (8H,m), 3.45 (3H,s), 3.72-3.75 (2H,m), 4.08-4.11 (2H,m), 5.00 (2H,s), 5.28 (2H,brs), 6.09 (1H,t), 6.74-6.82 (2H,m), 6.89 (1H,d), 7.04 (1H,d), 7.17-7.28 (3H,m), 7.57 (1H,dd), 8.49 (1H,dd).

[0649] MS m/z: (M+1)

EXAMPLE 198 4-(4-Chlorophenyl)-1-[3-(7-dimethylaminocarbonyl-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0650] The titled compound was prepared by following the procedure of example 134, but replacing the product of example 133 with the product of example 118.

[0651] 1H-NMR (CDCl₃) d: 1.65-1.70 (2H,m)_(,) 1.99-2.09 (3H,m), 2.32-2.69 (8H,m), 2.17 (3H,s), 5.35 (2H,brs), 6.15 (1H,t), 6.82 (1H,d), 7.19 (1H,dd), 7.28-7.46 (6H,m), 7.58 (1H,dd), 8.49 (1H,dd).

EXAMPLE 199 4-(4-Chlorophenyl)-1-[3-(7-(2-(1-hydroxy-2-methyl)propyl)oxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0652] To a solution of product of example 138 (500 mg) in methanol (5 ml) was added sodium borohydride (330 mg), and the mixture was heated to reflux for 1 hour. The mixture was distilled off under reduced pressure. Water and ethyl acetate were added to the residue, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure, and the residue was purified by silica gel chromatography eluting with chloroform-methanol (10:1) to give the titled compound (440 mg).

[0653] 1H-NMR (CDCl₃) d: 1.26 (6H,s), 1.66-1.70 (2H,m), 1.79 (1H.brs), 2.00-2.08 (2H,m), 2.37-2.70 (9H,m), 3.58 (2H,s), 5.30 (2H,brs), 6.05 (1H,t), 6.75-6.84 (2H,m), 6.91 (1H,d), 7.26-7.44 (5H,m), 7.58 (1H,dd), 8.49 (1H,dd).

[0654] MS m/z: 535 (M+1)

EXAMPLE 200 4-(4-Chlorophenyl)-1-[3-(7-(1-(2-methyl-2-hydroxy)propyl)oxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0655] To a solution of product of example 48 (500 mg) in tetrahydrofuran (5 ml) was added 0.95M methylmagnesium bromide tetrahydrofuran solution (3.8 ml) at 0° C., and the mixture was stirred at room temperature for 20 minutes. Aqueous ammonium chloride solution and ethyl acetate were added to the mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure, and the residue was purified by silica gel chromatography eluting with chloroform-methanol (10:1) to give the titled compound (360 mg).

[0656] 1H-NMR (CDCl₃) d: 1.34 (6H,s), 1.58 (1H,brs), 1.66-1.71 (2H,m), 1.99-2.10 (2H,m), 2.25 (1H,brs), 2.36-2.71 (8H,m), 3.77 (2H,s), 5.28 (2H,brs), 6.09 (1H,t), 6.74-6.86 (3H,m), 7.24-7.44 (5H,m), 7.57 (1H,dd), 8.49 (1H,dd).

[0657] MS m/z: 535 (M+1)

EXAMPLE 203 4-(4-Chlorophenyl)-1-[3-(7-(2-ethoxy)ethyloxy)-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0658] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with 2-ethoxyethyl bromide.

[0659]¹H-NMR (CDCl₃) d: 1.24 (3H,t), 1.66-1.75 (3H,m), 2.00-2.11 (2H,m), 2.36-2.71 (8H,m), 3.59 (2H,q), 3.71-.75 (2H,m), 4.07-4.11 (2H,m), 5.27 (2H,brs), 6.09 (1H,t), 6.75-6.91 (3H,m), 7.23-7.44 (5H,m), 7.57 (1H,dd), 8.48 (1H,dd).

[0660] MS m/z: 535 (M+1)

EXAMPLE 205 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(1-(2,3-dihydroxy)propyloxy)[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0661] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with glycidol.

[0662]¹H-NMR (CDCl₃) d: 1.66-1.75 (2H,m), 2.00-2.11 (2H,m), 2.36-2.71 (8H,m), 3.62-3.76 (2H,m), 3.94-4.02 (4H,m), 4.21 (2H,brs), 5.27 (2H,brs), 6.09 (1H,t), 6.76-6.86 (3H,m), 7.23-7.44 (5H,m), 7.57 (1H,dd), 8.48 (1H,dd).

[0663] MS m/z: 537 (M+1)

EXAMPLE 211 1-[3-(7-(1-Carbamoyl-1-methyl)ethyloxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0664] The titled compound was prepared by following the procedure of example 176, but replacing dimethylamine hydrochloride with ammonium hydroxide.

[0665]¹H-NMR (CDCl₃) d: 1.50 (6H,s), 1.67-1.72 (2H,m), 1.96-2.09 (3H,m), 2.36-2.70 (8H,m), 5.30 (2H,brs), 5.70 (1H,brs), 6.05 (1H,t), 6.75-6.90 (4H,m), 7.25-7.44 (5H,m), 7.58 (1H,dd), 8.49 (1H,dd).

[0666] MS m/z: 548 (M+1)

EXAMPLE 212 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(1-methylaminocarbonyl-1-methyl)ethyloxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0667] The titled compound was prepared by following the procedure of example 176, but replacing dimethylamine hydrochloride with methylamine.

[0668]¹H-NMR (CDCl₃) d: 1.47 (6H,s), 1.67-1.72 (2H,m), 1.96-2.09 (2H,m), 2.20 (1H,brs), 2.36-2.70 (8H,m), 2.87 (3H,d), 5.29 (2H,brs), 6.04 (1H,t), 6.72-6.86 (4H,m), 7.27-7.44 (5H,m), 7.58 (1H,dd), 8.47 (1H,dd).

[0669] MS m/z: 562 (M+1)

EXAMPLE 215 4-(4-Chlorophenyl)-1-[3-(7-(2-dimethylaminocarboxy)ethenyl-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0670] The titled compound was prepared by following the procedure of example 134, but replacing the product of example 133 with the product of example 172.

[0671]¹H-NMR (CDC13) d: 1.63-1.71 (3H,m), 1.98-2.10 (2H,m), 2.35-2.72 (8H,m), 3.07 (3H,s), 3.17 (3H,s), 5.36 (2H,brs), 6.16 (1H,t), 6.76 (1H,d), 6.84 (1H,d), 7.28-7.45 (7H,m), 7.59-7.65 (2H,m), 8.52 (1H,dd)

[0672] MS m/z: 544 (M+1)

EXAMPLE 218 1-[3-(7-(2-Carbamoyl)ethyl-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)-piperidin-4-ol

[0673] The titled compound was prepared by following the procedure of example 181, but replacing the product of example 133 with the product of example 123.

[0674]¹H-NMR (CDCl₃) d: 1.65-1.90 (3H,m), 2.10-2.22 (2H,m), 2.40-2.80 (10H,m), 2.91 (2H,t), 5.31-5.46 (4H,m), 6.11 (1H,t), 6.78 (1H,d), 7.01 (1H,dd), 7.16 (1H,d), 7.28-7.46 (5H,m), 7.57 (1H,dd), 8.49 (1H,dd).

[0675] MS m/z: 518 (M+1)

EXAMPLE 234 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidine)propyl]-4-(indol-3-yl)-piperidine

[0676] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(indol-3-yl)-piperidine. This piperidine was prepared by the same method described in J. Med. Chem. 36:4006-4014 (1993) and follow hydrogenation described in Example 58, step 3.

[0677]¹H-NMR(CDCl₃) d: 1.65-1.93 (2H,m), 1.94-2.28 (4H,m), 2.34-2.70 (4H,m), 2.81 (1H,m), 2.96 (2H,m), 3.78 (3H,s), 5.28 (2H,brs), 6.09 (1H,t), 6.70-7.42 (8H,m), 7.53-7.72 (2H,m), 8.28 (1H,brs), 8.49 (1H,m).

EXAMPLE 235 1-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidine)propyl]-4-(indol-3-yl)-1,2,3,6-tetrahydropyridine.

[0678] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(indol-3-yl)-1,2,3,6-tetrahydropyridine. This piperidine was prepared by the same method described in J. Med. Chem. 36:4006-4014 (1993).

[0679]¹H-NMR (CDCl₃) d: 2.35-2.77 (8H,m), 3.06-3.26 (2H,m) 3.78 (3H,s), 5.29 (2H,brs), 6.05-6.22 (2H,m), 6.70-6.88 (3H,m), 7.07-7.38 (5H,m), 7.60 (1H,dd), 7.87 (1H,m), 8.42 (1H,brs), 8.50 (1H,m).

EXAMPLE 236 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(3-(ethoxycarbonyl)propyloxy[1]benzoxipino[2,3-b]pyridin-5-ylidine)propyl]piperidine

[0680] The titled compound was prepared by following the procedure of example 153, but replacing ethyl bromoacetate with ethyl 4-bromobutyrate.

[0681]¹H-NMR (CDCL₃) d: 1.26 (3H,t), 1.56-1.85 (4H,m), 2.01 (2H,dt) 2.09 (2H,quint), 2.30-2.60 (7H,m), 2.93 (2H,m), 3.98 (2H,t), 4.15 (2H,q), 5.28 (2H,brs), 6.07 (1H,t), 6.68-6.86 (3H,m), 7.07-7.33 (5H,m), 7.58 (1H,dd), 8.50 (1H,dd).

[0682] MS m/z: 561 (M+1)

EXAMPLE 237 1-[3-(7-(3-Carboxypropyl)oxy-5,11-dihydro-[1]benzoxepino[2,3-b]pyridin-5-ylidine)propyl]-4-(4-chlorophenyl)-piperidine

[0683] The titled compound was prepared by following the procedure of example 133, but replacing the product of example 48 with the product of example 236.

[0684]¹H-NMR (CD₃OD) d: 1.92-2.20 (6H,m), 2.48 (2H,t), 2.70-3.02 (3H,m), 3.06-3.45 (4H,m), 3.66 (2H,m), 4.01 (2H,t), 5.48 (2H,brs), 6.36 (1H,t), 6.85 (2H,s), 7.00 (1H,s), 7.20-7.40 (4H,m), 8.11 (1H,dd), 8.64 (1H,d), 8.81 (1H,d). COOH signal was not observed.

[0685] MS m/z: 533 (M+1)

EXAMPLE 242 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(1-hydroxy-1-methyl)ethyl[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0686] The titled compound was prepared by following the procedure of example 200, but replacing the product of example 48 with the product of example KF72112.

[0687]¹H-NMR (CDCl₃)d: 1.58 (6H,s), 1.65-1.70 (3H,m), 1.93-2.21 (2H,m), 2.28-2.73 (8H,m), 5.32 (2H,brs), 6.13 (1H,t), 6.82 (1H,d), 7.20-7.50 (7H,m), 7.59 (1H,dd), 8.50 (1H,dd)

[0688] MS m/z: 505 (M+1)

EXAMPLE 248 1′-[3-(5,11-Dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidine)propyl]-6-methylspiro[4H-3,1-benzoxazine-4,4′-piperidine]-2 (1H)-one

[0689] The titled compound was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 6-methylspiro[4H-3,1-benzoxazine-4,4′-piperidin]-2 (1H)-one.

[0690]¹H-NMR (CDCl₃) d: 1.99-2.06 (2H,m), 2.29 (3H,s), 2.32-2.69 (10H,m), 3.77 (3H,s), 5.27 (2H,brs), 6.08 (1H,t), 6.69-6.83 (4H,m), 6.94 (1H,s), 7.02 (1H,d), 7.25 (1H,dd), 7.55 (1H,dd), 8.48 (1H,dd), 8.56 (1H,s).

[0691] MS m/z: 498 (M+1)

EXAMPLE 249 5-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4,6-dioxazacane.

[0692] 5-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4,6-diazacyclooctylamine

[0693] Step 1

[0694] 5-(3-(N,N′-Bis(2-hydroxyethyl)amino)propylidene)-5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridine was prepared by following the procedure of example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with diethanolamine.

[0695]¹H-NMR (CD₃OD) d: 2.46 (2H,m), 2.84 (4H,t), 2.98 (2H,m), 3.67 (4H,t), 3.75 (3H,s), 5.20 (2H,brs), 6.16 (1H,t), 6.68-6.80 (2H,m), 6.87 (1H,d), 7.46 (1H,dd), 7.81 (1H,dd), 8.45 (1H,dd)

[0696] Step 2

[0697] To a mixture of product of stepl (78 mg) and 4-chlorobenzaldehyde dimethyl acetal (0.1 ml) in 1,2-dichloroethane (60 ml) was added p-toluenesulfonic acid monohydrate (5 mg) at room temperature, and the mixture was stirred at reflux for 12 hours. Dichloromethane and saturated aqueous sodium bicarbonate was added to the cooled reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure, and the residue was purified by silica gel chromatography eluting with dichloromethane-methanol (20:1) to give the titled compound (40 mg).

[0698]¹H-NMR (CDCl₃) d: 2.35 (2H,m), 2.64-2.94 (6H, m) 3.52-3.68 (2H, m), 3.78 (3H,s), 3.72-3.90 (2H,m), 5.27 (2H,brs), 5.66 (1H,s), 6.08 (1H,t), 6.68-6.88 (3H,m), 7.18-7.46 (5H,m), 7.58 (1H,dd), 8.50 (1H,dd).

EXAMPLE 252

[0699] Step 1

[0700] To a cold (0° C.) stirred solution of 4-oxohomopiperidine.HCl (0.6 g, 4.05 mmol), K₂CO₃ (0.615 g, 4.46 mmol) in anhydrous THF (10 mL) will be ethyl chloroformate (0.44 mL, 4.05 mmol) dropwise. The reaction was warmed to RT for 2 hrs then quenched with H₂O, extracted with EtOAc, and the organic layer dried over Na₂SO₄. Pure 1-ethylcarbonyl-4-oxohomopiperidine will be isolated via silica gel flash chromatography

[0701] Step 2

[0702] To a cold (0° C.) stirred solution of 1-ethylcarbonyl-4-oxohomopiperidine (1.42 g, 6.07 mmol) in anhydrous THF (50 mL) under argon can be added dropwise 1.0 mM 4-chlorophenylmagnesium bromide in diethyl ether (10 mL, 10 mmol). The reaction can be warmed to RT for 2 hrs then quenched with saturated aqueous NH₄Cl 95 mL). The reaction mixture can then be extracted with EtOAc (2×50 mL), the organic layers combined and dried over Na₂SO₄. Pure 1-ethoxycarbonyl-4-(4-chlorophenyl)-4-hydroxyhomopeperidine (2.1 g, 96%) can be isolated via silica gel flash chromatography eluting with 50% ETOAc/hexane.

[0703] 4-(4-chlorophenyl)-4-hydroxyhomopiperidine can be prepared by reacting 1-ethoxycarbonyl-4-(4-chlorophenyl)-4-hydroxyhomopeperidine with a nucleophilic hydroxide equivalent such as LiOH in a solvent such as THF, methanol or ethanol. Removal of the solvent can afford 4-(4-chlorophenyl)-4-hydroxyhomopeperidine.

[0704] Step 4

[0705] The compound was prepared by following the procedure for Example 44, but replacing 4-(4-chlorophenyl)-4-hydroxypeperidine with 4-(4-chlorophenyl)-4-hydroxyhomopeperidine.

[0706] EXAMPLES 253 AND 254

[0707] Step 1

[0708] To a stirred solution of 4-oxohomopiperidine.HCl (1.2 g, 8.05 mmol), NaOH (0.68 g, 16.9 mmol) in t-BuOH/H₂O (1:1, 10 mL) was added t-butyldicarbonate (1.93 mL, 8.9 mmol) drop-wise. The reaction was stirred at RT overnight, extracted with EtOAc (2×10 mL) and the organic layer separated. The organic layer was dried over Na₂SO₄ and concentrated under vacuo. Pure 1-t-butoxycarbonyl-4-oxohomopiperidine (1.42 g, 84%) was isolated via silica gel flash chromatography eluting with 50% EtOAc/hexane. ¹H NMR CDCl₃.44 (9H, s), 1.72-1.84 (2H, m), 2.60-2.65 (4H, m), 3.55-3.61 (4H, m).

[0709] Step 2

[0710] To a cold (0° C.) stirred solution of 1-t-butoxycarbonyl-4-oxohomopiperidine (1.42 g, 6.07 mmol) in anhydrous THF (50 mL) under argon was added dropwise 1.0 M 4-chlorophenylmagnesium bromide in diethyl ether (10 mL, 10 mmol). The reaction was warmed to RT for 2 hrs then quenched with sat'd aqueous NH₄Cl (5 mL). The reaction mixture was extracted with EtOAc (2×50 mL), the organic layers combined and dried over Na₂SO₄. Pure 1-t-butoxycarbonyl-4-(4-chlorophenyl)-4-hydroxyhomopiperidine (2.1 g, 96%) was isolated via silica gel flash chromatography eluting with 50% EtOAc/hexane. ¹H NMR CDCl₃ 1.43 (9H,s), 1.61-2.22 (6H, m), 3.21-3031 (2H, m), 3.48-3.82 (2H, m).

[0711] Step 3

[0712] To a stirred solution of 1-t-butoxycarbonyl-4-(4-chlorophenyl)-4-hydroxyhomopiperidine (2.1 g) at RT in CH₂Cl₂ (48 mL) was added TFA (2.0 mL). The reaction was stirred at RT for 2 hrs. Excess solvent and TFA was removed affording 2.0 g (92% yield) 1:1 mixture of 3-(4-chlorophenyl)-2,3-dehydrohomopiperidine and 3-(4-chlorophenyl)-3,4-dehydrohomopiperidine. ¹H NMR (MeOD, isomer A) δ 2.01-2.11 (2H, m, 4), 2.60-2.71 (2H, m, 5), 2.81-2.92 (2H, m, 4), 2.83-3.05 (2H, m, 5), 3.66-3.92 (4H, m, 5), 6.16-6.21 (1H, t, 5). ¹H NMR (MeOD, isomer B) 3.44-3.56 (2H, m, 4), 3.88-3.97 (2H, m, 4), 6.01-6.12 (1H, t, 4), 7.32-7.44 (1H, t, 4).

[0713] Step 4

[0714] The compounds can be prepared by following the procedure for Example 44 but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 3-(4-chlorophenyl)-3,4-dehydrohomopiperidine and 3-(4-chlorophenyl)-4,5-dehydrohomopiperidine.

EXAMPLE 255

[0715] 1-(4-Chlorophenyl)-4-[3-(5,11-dihydro-7-hydroxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl] piperazinone

[0716] The titled compound was prepared by following the procedure of example 44, step 2, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 1-(4-chlorophenyl)piperazinone.

[0717]¹H-NMR (DMSO-d₆) d: 2.30-2.34 (2H,m), 2,49-2.57 (2H,m), 2.68 (2H,t), 3.06 (2H,s), 3.58 (2H,t), 5,12 (2H,brs), 6.06 (2H,t), 6.57-6.69 (3H,m), 7.35-7.71 (5H,m), 7.72 (1H,dd), 8.48 (1H,dd)

EXAMPLE 256 1-(4-Chlorophenyl)-4-[3-(5,11-dihydro-7-hydroxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]homopiperazdine

[0718] The titled compound was prepared by following the procedure of example 44, step 2, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 1-(4-chlorophenyl)homopiperazdine.

[0719]¹H-NMR (CDCl₃) d: 1.89 (2H,brs), 2.27-2.35 (2H,m), 2.51-2.70 (6H,m), 3.37-3.53 (4H,m), 5.23 (2H,brs), 5.98 (1H,t), 6.48-6.74 (6H,m), 7.05-7.26 (2H,m), 7.52 (1H,dd), 8.45 (1H,dd).

[0720] MS m/z: 462 (M+1)

EXAMPLE 260 3-(4-Chlorophenyl)-8-[3-(5,11-dihydro-7-hydroxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-8-azabicyclo[3.2.1]octan-3-ol

[0721] The titled compound was prepared by following the procedure of example 44, step 2, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 3-(4-chlorophenyl)-8-azabicyclo[3.2.1]octan-3-ol

[0722]¹H-NMR(CDCl₃) d:1.65-2.10 (4H,m), 2.1-2.7 (8H,m), 3.32 (2H,bs), 3.78 (3H,s), 5.24 (2H,bs), 6.10 (1H,dd), 6.70-6.90 (3H,m), 7.15-7.31 (3H,m), 7.45 (bd,2H), 7.64 (dd,1H) 8.46 (dd,1H)

[0723] MS m/z: 503 (M+1)

EXAMPLE 261 1′-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-hydroxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]spiro[5-chloro-1,3-benzodioxole-2,4′-piperidine]

[0724] The titled compound was prepared by following the procedure of example 44, step 2, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with spiro[5-chloro-1,3-benzodioxole-2,4′-piperidine] (Journal of Medicinal Chemistry. 1995, 38, 2009-2017).

[0725]¹H-NMR(DMSO-d₆) d: 1.78-2.02 (4H, m), 2.18-2.63 (8H, m), 4.97-5.27 (2H, brs), 6.06 (1H, t), 6.58-6.67 (3H, m), 6.79-6.87 (2H, m), 6.99 (1H, d), 7.42 (1H, dd), 7.72 (1H, dd), 8.49 (1H, dd), 9.07 (1H, s).

EXAMPLE 262 1-[3-(7-(1-Carbamoyl-1-methyl)ethyloxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)-4-hydroxy-1-methylpiperidinium iodide

[0726] To a solution of the product of example 211 (330 mg) and in acetonitrile (1.2 ml) was added iodomethane (0.07 ml), and the reaction mixture was stirred at room temperature for 2 hours. The precipitation was filtered and washed with acetonitrile to give the titled compound (250 mg).

[0727]¹H-NMR (DMSO-d₆) d: 1.39 (6H,s), 1.65-1.85 (2H,m), 2.20-2.64 (4H,m), 3.09 (3H,s), 3.30-3.65 (6H,m), 5.20 (2H,m), 5.61 (1H,s), 6.01 (1H,t), 6.75-6.92 (3H,m), 7.27 (1H,s), 7.38-7.64 (6H,m), 7.83 (1H,dd), 8.56 (1H,dd)

[0728] MS m/z: 562[(M−I)+]

EXAMPLE 263 4-(4-Chlorophenyl)-1-[3-(7-diethylaminocarbonylmethyloxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0729] The titled compound was prepared by following the procedure of example 134, but replacing dimethylamine hydrochloride with diethylamine.

[0730]¹H-NMR (CDCl₃) d: 1.67-1.72 (2H,m), 1.99-2.10 (2H,m), 2.36-2.70 (9H,m), 2.89 (3H,d), 4.45 (2H,s), 5.28 (2H,brs), 6.08 (1H,t), 6.66 (1H,brs), 6.73-6.84 (3H,m), 7.25-7.45 (5H,m), 7.58 (1H,dd), 8.47 (1H,dd).

[0731] MS m/z: 534 (M+1)

EXAMPLE 269 1-[3-(7-Carbamoyl-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0732] The titled compound was prepared by following the procedure of example 198, but replacing dimethylamine hydrochloride with ammonium hydroxide.

[0733]¹H-NMR (CDCl₃) d: 1.67-1.79 (2H,m), 2.01-2.10 (2H,m), 2.17-2.71 (8H,m), 5.38 (2H,brs), 6.21 (1H,t), 6.85 (1H,d), 7.27-7.57 (9H,m), 7.90 (1H,dd), 8.50 (1H,dd).

[0734] MS m/z: 490 (M+1)

EXAMPLE 273 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(methoxycarbonyl[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0735] A mixture of the product of example 169 (15.0 g), palladium(II) diacetate (170 mg), 1,3-bis(diphenylphosphino)propane (310 mg), and triethylamine (7.0 ml) in methanol (100 ml) and dimethylformamide (150 ml) was purged with carbon monoxide for 5 minutes and stirred under a carbon monoxide balloon at 70° C. for 8 hours. The reaction mixture was evaporated under reduced pressure. The residue was added water and extracted with ethyl acetate. The extract was dried over magnesium sulfate, and the solvent was evaporated under reduced pressure. The residue was purified by silica gel column chromatography (ethyl acetate:methanol =10:1) to give the titled compound(13.1 g).

[0736]¹H-NMR(CDCl₃)d: 1.45-1.80 (3H,m), 1.90-2.15 (2H,m), 2.28-2.48 (4H,m), 2.50-2.75 (4H,m), 3.89 (3H,s), 5.25-5.50 (2H,m), 6.20 (1H,dd), 6.85 (1H,d), 7.20-7.37 (3H,m), 7.42 (2H,d), 7.58 (1H,d), 7.80 (1H,dd), 8.01 (1H,dd), 8.52 (1H,dd)

[0737] MS m/z: 505 (M+1)

EXAMPLE 274 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-hydroxymethyl[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0738] To an ice-cooled solution of the product of example 273 (2.0 g) in tetrahydrofuran (100 ml) was added lithium aluminum hydride (300 mg), and the reaction mixture was stirred at room temperature for 12 hours. After the reaction mixture was cooled to 0° C., water (0.3 ml), 15% sodium hydroxide aqueous solution (0.3 ml), and water (0.9 ml) were added. The reaction mixture was filtered, and the filtrate was dried over magnesium sulfate. The solvent was evaporated under reduced pressure and the residue was purified by silica gel column chromatography (chloroform:methanol:28% ammonia in water=100:5:1) to give the titled compound (1.6 g).

[0739]¹H-NMR (CDCl₃)d: 1.55-1.71 (3H,m)_(,) 1.95-2.25 (2H,m), 2.34-2.70 (8H,m), 4.62 (2H,s), 5.20-5.45 (2H,brs), 6.13 (1H,t), 6.84 (1H,d), 7.16 (1H,dd), 7.23-7.43 (6H,m), 7.58 (1H,dd), 8.51 (1H,dd)

[0740] MS m/z: 477 (M+1)

EXAMPLE 275 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(1-propylamino)methyl [1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0741] To a solution of the product of example 314 (300 mg) and 1-propylamine (0.26 ml) in tetrahydrofuran (6 ml) was added acetic acid (0.36 ml), and the reaction mixture was stirred at 60° C. for 30 minutes. Then the reaction mixture was added sodium triacetoxyborohydride (670 mg) at 0° C., and stirred for 1.5 hours at room temperature. Sodium bicarbonate, water, and chloroform were added to the reaction mixture. The organic layer was extracted, and dried over potassium carbonate, and evaporated under reduced pressure. The residue was recrystallized with ethyl acetate to give titled compound (130 mg).

[0742]¹H-NMR (CDCl₃) d: 0.92 (3H,t), 1.49-1.70 (6H,m), 1.98 (2H,m), 2.34-2.42 (4H,m), 2.51-2.70 (6H,m), 3.71 (2H,s), 5.32 (2H,brs), 6.12 (1H,t), 6.81 (1H,d), 7.11 (1H,dd), 7.25-7.45 (6H,m), 7.57 (1H,dd), 8.49 (1H,dd).

[0743] MS m/z: 518 (M+1)

EXAMPLE 279 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(1-pyrrolidino)methyl [1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0744] The titled compound was prepared by following the procedure of Example 275, but replacing 1-propylamine with 4-aminobutyric acid.

[0745]¹H-NMR (CDCl₃) d: 1.70-1.75 (2H,m), 1.98 (2H,m), 2.12-2.23 (2H,m), 2.40-2.86 (1OH,m), 3.27 (2H,t), 4.36 (2H,s), 5.29 (2H,brs), 6.07 (1H,t), 6.80 (1H,d), 7.04 (1H,dd), 7.19 (1H,d), 7.28-7.32 (3H,m), 7.50 (1H,t), 7.61 (1H,dd), 8.51 (1H,dd).

[0746] MS m/z: 544 (M+1)

EXAMPLE 280 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(2-hydroxy)ethyl[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0747] The titled compound was prepared by following the procedure of example 273, but replacing the product of example with the product of example 274.

[0748]¹H-NMR (CDCl₃) d: 1.60-1.70 (4H,m), 2.01-2.12 (2H,m), 2.37-2.70 (8H,m), 2.81 (2H,t), 3.84 (2H,t), 5.31 (2H,brs), 6.09 (1H,t), 6.81 (1H,d), 7.03 (1H,dd), 7.15 (1H,d), 7.26-7.43 (5H,m), 7.57 (1H,dd), 8.49 (1H,dd).

[0749] MS m/z: 491 (M+1)

EXAMPLE 281 1-[3-(7-Carbamoylmethyl-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)-piperidin-4-ol

[0750] The titled compound was prepared by following the procedure of example 122, but replacing dimethylamine hydrochloride with ammonium hydroxide.

[0751]¹H-NMR (CDCl₃) d: 1.65-1.70 (2H,m), 1.98-2.06 (2H,m), 2.27-2.70 (9H,m), 3.46 (2H,s), 5.30 (2H,brs), 5.74 (1H,brs), 6.04 (1H,brs), 6.09 (1H,t), 6.79 (1H,d), 7.02 (1H,dd), 7.18-7.41 (6H,m), 7.54 (1H,dd), 8.43 (1H,dd).

[0752] MS m/z: 504 (M+1)

EXAMPLE 288 4-(4-Chlorophenyl)-1-[3-(7-(2-ethoxycarboxy)ethyl-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0753] The titled compound was prepared by following the procedure of example 165, but replacing the product of example 164 with the product of example 310.

[0754]¹H-NMR (CDCl₃) d: 1.23 (3H,t), 1.63-1.71 (3H,m), 1.98-2.10 (2H,m), 2.35-2.71 (10H,m), 2.89 (2H,t), 4.13 (2H,q), 5.31 (2H,brs), 6.08 (1H,t), 6.78 (1H,d), 7.00 (1H,dd), 7.12 (1H,d), 7.26-7.44 (5H,m), 7.57 (1H,dd), 8.49 (1H,dd).

[0755] MS m/z: 548 (M+1)

EXAMPLE 289 4-(4-Chlorophenyl)-1-[3-(7-(1-(3-hydroxy)propyl)-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0756] The titled compound was prepared by following the procedure of example 133, but replacing the product of example 48 with the product of example 288.

[0757]¹H-NMR (DMSO-d₆) d: 1.45-1.50 (2H,m), 1.66-1.80 (4H,m), 2.26-2.57 (1OH,m), 3.41 (2H,q), 4.46 (1H,t), 4.83 (1H,s), 5.23 (2H,brs), 6.14 (1H,t), 6.71 (1H,d), 7.01 (1H,dd), 7.13 (1H,d), 7.34-7.48 (5H,m), 7.72 (1H,dd), 8.49 (1H,dd).

[0758] MS m/z: 505 (M+1)

EXAMPLE 290 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(2,3-dihydroxy)propyl[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0759] To a solution of product of example 170 (6.9 g) in tetrahydrofuran (70 ml) and water (14 ml) were added N-methylmorpholine oxide(1.7 g) and osmium tetraoxide at 0° C., and the mixture was stirred at room temperature for 3 hours. Ethyl acetate was added to the mixture, the aqueous layer was separated. Chloroform-isopropanol (4:1) was added to the aqueous layer, the organic layer was extracted, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure to give the titled compound (7.0 g).

[0760]¹H-NMR (CDCl₃) d: 1.65-1.73 (2H,m), 1.95-2.10 (2H,m), 2.30-2.75 (13H,m), 3.45-3.50 (1H,m), 3.60-3.65 (1H,m), 3.83-3.90 (1H,m), 5.28 (2H,brs), 6.06 (1H,t), 6.84 (1H,d), 7.03 (1H,dd), 7.15 (1H,d), 7.26-7.43 (5H,m), 7.57 (1H,dd), 8.49 (1H,dd)

[0761] MS m/z: 521 (M+1)

EXAMPLE 292 4-(4-Chlorophenyl)-1-[3-(7-(2-furyl)-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0762] The titled compound was prepared by following the procedure of example 170, but replacing allyltributyltin with ethyl (2-furyl)tributyltin.

[0763]¹H-NMR (CDCl₃) d: 1.70-1.80 (3H,m), 1.97-2.16 (2H,m), 2.3-2.8 (8H,m), 5.36 (2H,m), 6.19 (1H,t), 6.45 (1H,dd), 6.55 (1H,d), 6.87 (1H,d), 7.20-7.50 (7H,m), 7.60-7.65 (2H,m), 8.52 (1H,dd)

[0764] MS m/z: 513 (M+1)

EXAMPLE 293 4-(4-Chlorophenyl)-1-[3-(7-ethoxycarbonylamino-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidine)propyl]piperidin-4-ol

[0765] A mixture of product of example 118 (490 mg) and diphenylphosphonic azide (0.28 ml) was stirred at 110° C. for 30 minutes. After the mixture was cooled, and triethylamine (0.14 ml) and ethanol (5 ml) were added, and the mixture was heated to reflux for 8 hours. The reaction mixture was diluted with ethyl acetate and filterd through Celite. The filtrate was washed with saturated aqueous sodium bicarbonate, and dried over magnesium sulfate. The solvent was removed under reduced pressure and the residue was purified by silica gel column chromatography (chloroform:methanol=10:1) to give the titled compound (210 mg).

[0766] 1H-NMR (CDCl₃) d: 1.31 (3H,t), 1.65-1.70 (2H,m), 2.01-2.09 (2H,m), 2.36-2.70 (8H,m), 4.21 (2H,q), 5.30 (2H,brs), 6.13 (1H,t), 6.46 (1H,brs), 6.80 (1H,d), 7.02 (1H,dd), 7.28-7.50 (6H,m), 7.57 (1H,dd), 8.50 (1H,dd).

[0767] MS m/z: 534 (M+H)

EXAMPLE 294 1-[Bis(ethoxycarbonylmetyl)methoxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)-piperidin-4-ol

[0768] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with diethyl bromomalonate.

[0769]¹H-NMR (CDCl₃) d: 1.30 (3H,t), 1.66-1.71 (2H,m), 1.98-2.09 (2H,m), 2.35-2.69 (9H,m), 4.30 (2H,q), 5.14 (1H,s), 5.26 (2H,brs), 6.10 (1H,t), 6.78 (2H,d), 7.00 (1H,t), 7.26-7.45 (5H,m), 7.57 (1H,dd), 8.43 (1H,dd).

[0770] MS m/z: 621 (M+1)

EXAMPLE 295 1-[1,1-Bis(ethoxycarbonylmetyl)ethyloxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)-piperidin-4-ol

[0771] The titled compound was prepared by following the procedure of example 46, but replacing ethyl iodide with diethyl 2-bromo-2-methylmalonate.

[0772]¹H-NMR (CDCl₃) d: 1.27 (6H,t), 1.65-1.70 (5H,m) 1.99-2.08 (3H,m), 2.31-2.69 (8H,m), 4.28 (4H,q), 5.27 (2H,brs), 6.06 (1H,t), 6.72 (1H,d), 6.80 (1H,dd), 7.00 (1H,d), 7.27-7.45 (5H,m), 7.56 (1H,dd), 8.46 (1H,dd).

EXAMPLE 296 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(2-hydroxy-1-hydroxymethyl)ethyloxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0773] The titled compound was prepared by following the procedure of example 199, but replacing the product of example 138 with the product of example 294.

[0774]¹H-NMR (CDCl₃) d: 1.70-1.75 (2H,m), 2.10-2.80 (11H,m), 3.90 (4H,d), 4.36 (1H,quint), 5.28 (2H,brs), 6.13 (1H,t), 6.71-6.87 (2H,m), 7.00 (1H,d), 7.29-7.45 (5H,m), 7.58 (1H,dd), 8.51 (1H,dd).

[0775] MS m/z: 537 (M+1)

EXAMPLE 297 1-[1,1-Bis(hydroxymetyl)ethyloxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)-piperidin-4-ol

[0776] The titled compound was prepared by following the procedure of example 199, but replacing the product of example 138 with the product of example 295.

[0777]¹H-NMR (CDCl₃) d: 1.09 (3H,s), 1.66-1.71 (2H,m), 1.90-2.10 (3H,m), 2.37-2.75 (8H,m), 3.72-3.82 (4H,m), 5.29 (2H,brs), 6.05 (1H,t), 6.77 (1H,d), 6.88 (1H,dd), 7.03 (1H,d), 7.26-7.43 (5H,m), 7.56 (1H,dd), 8.48 (1H,dd).

[0778] MS m/z: 551 (M+1)

EXAMPLE 305 1-[3-(5,11-dihydro-7-(2-hydroxyethyl)aminocarbonyl[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]-4-(4-chlorophenyl)piperidin-4-ol

[0779] The titled compound was prepared by following the procedure of example 198, but replacing dimethylamine hydrochloride with 2-hydroxyehylamine.

[0780]¹H-NMR (CDCl₃) d: 1.65-1.70 (2H,m), 2.03-2.06 (2H,m), 2.21 (1H,d), 2.32-2.68 (8H,m), 3.63 (2H,dt), 3.83 (2H,t), 5.37 (2H,brs), 6.18 (1H,t), 6.67 (1H,brs), 7.25-7.54 (7H,m), 7.86 (1H,dd), 8,50 (1H,dd).

[0781] MS m/z: 534 (M+1)

EXAMPLE 306 4-(4-Chlorophenyl)-1-[3-(5,11-dihydro-7-(1-cyclohexyloxycarbonyloxy)ethyloxycarbonyl[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol dihydrochloride

[0782] To a solution of product of example 118 (1.1 g) in dimethylformamide (15 ml) were added sodium iodide(O.17 g), potassium carbonate (0.38 g) and cyclohexyl 1-chloroethyl carbonate (J. Antibiotics, 1987, 40, 81.) (0.579) at room temperature. The mixture was stirred at 70° C. for 1 hour. Water and ethyl acetate were added to the reaction mixture, the organic layer was separated and washed with saturated aqueous sodium chloride, and dried with magnesium sulfate. The solvent was distilled off under reduced pressure and the residue was purified by silica gel column chromatography (ethyl acetate:methanol=100:3). The obtained oil was dissolved with ethyl acetate, and 4 N hydrochloric acid ethyl acetate solution (0.8 ml) was added. The precipitation was filtered to give the titled compound (0.96 g).

[0783]¹H-NMR (DMSO-d₆) d: 1.22-1.47 (6H,m), 1.58 (3H,d), 1.63-1.81 (6H,m), 2.38-3.30 (10H,m), 4.07-4.59 (1H,m), 5.80 (2H,brs), 6.28 (1H,t), 6.87 (1H, q), 6.97 (1H,d), 7.40-7.49 (4H,m), 7.64 (1H,dd), 7.79 (1H,dd), 7.96 (1H,d), 8.03 (1H,dd), 8.65 (1H,dd), 11.07 (1H,brs).

[0784] MS m/z: 661[(M−2HCl)+1]

EXAMPLE 310 4-(4-Chlorophenyl)-1-[3-(7-(2-ethoxycarboxy)ethenyl-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0785] The titled compound was prepared by following the procedure of example 171, but replacing t-butyl acrylate with ethyl acrylate.

[0786]¹H-NMR (CDCl₃) d: 1.33 (3H,t), 1.63-1.71 (3H,m), 1.98-2.10 (2H,m), 2.35-2.72 (8H,m), 4.25 (2H,q), 5.36 (2H,brs), 6.10 (1H,t), 6.33 (1H,d), 6.85 (1H,d), 7.22-7.44 (7H,m), 7.58-7.65 (2H,m), 8.53 (1H,dd).

EXAMPLE 311 4-(4-Chlorophenyl)-1-[3-(7-(1-(2-ethyl-2-hydroxy)butyl)oxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0787] The titled compound was prepared by following the procedure of example 200, but replacing ethylmagnesium bromide with methylmagnesium bromide.

[0788]¹H-NMR (CDCl₃) d: 0.93 (6H,t)_(,) 1.60-1.70 (6H,m), 1.95-2.10 (3H,m), 2.36-2.70 (8H,m), 3.79 (2H,s), 5.28 (2H,brs), 6.09 (1H,t), 6.77-6.86 (3H,m), 7.24-7.43 (5H,m), 7.57 (1H,dd), 8.47 (1H,dd).

[0789] MS m/z: 563 (M+1)

EXAMPLE 312 4-(4-Chlorophenyl)-1-[3-(7-(2-(2,3-dimethyl-3-hydroxy)butyl)oxy-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0790] The titled compound was prepared by following the procedure of example 200, but replacing the product of example 48 with the product of example 138.

[0791]¹H-NMR (CDCl₃) d: 1.22 (6H,s), 1.32 (6H,s), 1.66-1.71 (2H,m), 1.99-2.10 (2H,m), 2.35-2.85 (9H,m), 3.77 (2H,s), 5.28 (2H,brs), 6.04 (1H,t), 6.74-6.89 (3H,m), 7.26-7.43 (5H,m), 7.57 (1H,dd), 8.44 (1H,dd).

[0792] MS m/z: 563 (M+1)

EXAMPLE 314 4-(4-Chlorophenyl)-1-[3-(7-formyl-5,11-dihydro[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]piperidin-4-ol

[0793] To a solution of the product of example 274 (l.0 g) in methylene chloride(200 ml) was added manganese(IV) oxide(3.0 g), and the suspension was stirred at ambient temperature for 12 hours. The reaction mixture was diluted with ethyl acetate and filtered through Celite. The solvent was evaporated under reduced pressure to give the titled compound(930 mg).

[0794]¹H-NMR (CDCl₃) d: 1.71-1.80 (3H,m), 1.98-2.09 (2H,m), 2.35-2.43 (4H,m), 2.53-2.69 (4H,m), 5.30 (2H,brs), 6.24 (1H,t), 6.95 (1H,d), 7.27-7.44 (5H,m), 7.61 (1H,dd), 7.67 (1H,dd), 7.85 (1H,d), 8.54 (1H,dd), 9.88 (1H,s).

EXAMPLE 316

[0795] To a stirred solution of phenol containing the product of Example 44 (1.0 mmol) and K₂CO₃ (1.5 mmol) in THF (10 mL) at RT was added N, N-dimethylcarbamoylchloride (1.2 mmol). The reaction was stirred at reflux for 24 hrs. Excess solvent was removed and pure compound was isolated via silica gel chromatography eluting with 5% MeOH/CH₂Cl₂. MS m/z: (M+535)

EXAMPLE 317

[0796] To a stirred solution of phenol containing the product of Example 44 (1.0 mmol) and K₂CO₃ (1.5 mmol) in THF (10 mL) at RT was added morpholinocarbamoylchloride (1.2 mmol). The reaction was stirred at reflux for 24 hrs. Excess solvent was removed and pure compound was isolated via silica gel chromatography eluting with 5% MeOH/CH₂Cl₂. MS m/z: (M+577)

EXAMPLE 318

[0797] To a stirred solution of phenol containing the product of Example 44 (1.0 mmol) in DMF at RT was added NaH (1.5 mmol) followed by the addition of N-isopropylisocyanate (1.5 mmol). The reaction was heated to 60° C. for 6 hrs. The reaction was quenched with 1.5 equivalents of H₂O and excess DMF was removed under reduced pressure. Residue was charged on a silica gel column and eluted off with 5% MeOH/CH₂Cl₂. MS m/z: (M+548)

EXAMPLE 319

[0798] To a stirred solution of phenol containing the product of Example 44 (1.0 mmol) and K₂CO₃ (1.5 mmol) in THF (10 mL) at RT was added N-methyl-N-phenylcarbamoylchloride (1.2 mmol). The reaction was stirred at reflux for 24 hrs. Excess solvent was removed and pure compound was isolated via silica gel chromatography eluting with 5% MeOH/CH₂Cl₂.

[0799] MS m/z: (M+597)

EXAMPLE 320

[0800] To a stirred solution of phenol containing the product of Example 44 (1.0 mmol) in DMF at RT was added NaH (1.5 mmol) followed by the addition of N-phenylisocyanate(1.5 mmol). The reaction was heated to 60° C. for 6 hrs. The reaction was quenched with 1.5 equivalents of H₂O and excess DMF was removed under reduced pressure. Residue was charged on a silica gel column and eluted off with 5% MeOH/CH₂Cl₂. MS m/z: (M+583)

EXAMPLE 321

[0801] To a stirred solution of phenol containing the product of Example 44 (1.0 mmol) in DMF at RT was added NaH (1.5 mmol) followed by the addition of N-(3-pyridyl)isocyanate(l.5 mmol). The reaction was heated to 60° C. for 6 hrs. The reaction was quenched with 1.5 equivalents of H₂O and excess DMF was removed under reduced pressure. Residue was charged on a silica gel column and eluted off with 5% MeOH/CH₂Cl₂. MS m/z: (M+584)

EXAMPLE 322

[0802] To a stirred solution of phenol containing the product of Example 44 (1.0 mmol) and K₂CO₃ (1.5 mmol) in THF (10 mL) at RT was added pyrolidinylcarbamoylchloride (1.2 mmol). The reaction was stirred at reflux for 24 hrs. Excess solvent was removed and pure compound was isolated via silica gel chromatography eluting with 5% MeOH/CH₂Cl₂.

[0803] MS m/z: (M+560)

EXAMPLE 323

[0804] The compound was prepared by following the procedure for example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-chlorophenyl)-4-cyanopiperidine. MS m/z: (M+486).

EXAMPLE 324

[0805] To a cold (0° C.) stirred solution of Example 323 (0.50 g, 0.104 mmol) in anhydrous THF (5 mL) was added lithium aluminum hydride (8 mg, 0.21 mmol). The reaction was stirred at RT for 2 hrs. The reaction was then quenched by the careful addition of H₂O (0.21 mL), 15% aqueous KOH (0.21 mL), then H₂O (0.21 mL). The organic layer was separated and dried over Na₂SO₄. The compound was purified via silica gel flash chromatography eluting with 10% methanol/methylene chloride. MS m/z: (M+490).

EXAMPLE 325

[0806] The compound can be obtained by the reduction of the azido functionality of Example 187 with a reducing agent, such as triphenyl phoshine, lithium aluminum hydride, sodium borohydride, in a solvent such as tetrahydrofuran or diethyl ether in reaction temperature ranges from 0° C. to reflux with a reaction time between 5 minutes and 72 hours.

EXAMPLE 326

[0807] The compound was prepared by following the procedure for example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-chlorophenyl)-4-methylpiperidine provide in Example 329, steps 1-3. MS m/z: (M+475)

EXAMPLE 328

[0808] Step 1

[0809] N-benzyl-4-(4-chlorophenyl)-4-hydroxypiperidine:

[0810]FIG. 8a To a stirred solution of commercially available 4-(4-chlorophenyl)-4-hydroxypiperidine (10 g, 47 mmol., 1) in anhydrous DMF (10 mL) was added benzyl bromide (5.6 mL, 47 mmol) and K₂CO₃ (7.4 g, 94 mmol.) and stirred at RT overnight. Excess solvent was removed under reduced pressure, brought up into CH₂Cl₂ (100 mL) washed with H₂O (2×50 mL). Organic layer separated, dried over Na₂SO₄ and charged on a silica gel flash column. Eluting off with 2% MeOH/CH₂Cl₂ 10 g 2 (80% yield) was obtained as a viscous liquid. MS m/z: (M+303)

[0811] Step 2

[0812] N-benzyl-4-(4-chlorophenyl)-4-fluoropiperidine:

[0813]FIG. 8a To a cold (−78° C.) solution of 2 (10 g, 33 mmol) in CH₂Cl₂ (20 mL) was slowly added DAST (diethylaminosulfur trifluoride, 5.3 mL, 39.8 mmol) under an inert atmosphere. The reaction was stirred at −78° C. for an additional 45 min. The reaction was quenched at −78° C. by the slow addition of enough saturated aqueous sodium bicarbonate solution to afford a pH >8. This reaction resulted a quantitative conversion of the starting material to a 1:1 mixture of fluoropiperidine 3 and 4-(4-chlorophenyl)tetrahydropyridine 4. The mixture of 3 and 4 (3.5 g, mixture, ˜35% yield) was purified via silica gel flash chromatography, eluting with 2% MeOH/CH₂Cl₂. This mixture proved to be inseparable by silica gel flash chromatography. In order to separate out the desired product, the mixture of 3 and 4 were subjected to osmium tetroxide oxidation.

[0814] To a stirred solution of the mixture of 3 and 4 (1.8 g) in acetone/H₂O (5:1, 10 mL) was added a catalytic amount of OSO₄ in isopropanol (2.5 mol %, 1 mL) and N-methylmorpholine-N-oxide (0.69 g, 6.56 mmol). The reaction was stirred at RT overnight. The reaction was then evaporated to dryness, brought up into CH₂Cl₂ and washed with NaHSO3. This reaction resulted in the dihydroxylation of the undesired 4 to 5 and the clean separation of the desired fluoropiperidine 3 (1.0 g, 55% yield) from the byproduct by silica gel flash chromatography eluting with 2% MeOH/CH₂Cl₂. MS m/z: (M+306)

[0815] Step 3

[0816] 4-(4-chlorophenyl)-4-fluoropiperidine:

[0817]FIG. 8a To a cold (0° C.) solution of 3 (1.07 g, 3.5 mmol) in 1,2-dichloroethane was added 1,1-chloroethylchloroformate (0.45 mL, 4.2 mmol). The reaction was then heated to reflux for 2 hrs. Excess solvent was removed and the residue was brought up into 5 mL methanol. The mixture was refluxed for 2 hrs and excess methanol was removed under reduced pressure. Precipitation of the hydrochloride salt of 6 by the addition of CH₂Cl₂/hexane (1:1) followed by filtration resulted in the quantitative isolation of the desired crystalline product 6 (80%, 0.70 g). MS m/z: (M+215)

[0818] Step 4

[0819] The compound was prepared by following the procedure for example 44, but replacing 4-(4-chlorophenyl)-4hydroxypiperidine with 4-(4-chlorophenyl)-4-fluoropiperidine. MS m/z: (M+466).

EXAMPLE 329

[0820] Step 1

[0821] N-benzyl-4-methylpiperidine:

[0822]FIG. 8c To a cold (−78° C.) stirred solution of 1.4 M methyllithium in THF (39 mL, 54 mmol) under an inert atmosphere was added N-benzyl-4-oxopiperidine (1, 5.1 g, 27 mmol). The reaction was stirred at −78° C. for 2hrs. The reaction was quenched by the slow addition of saturated aqueous NH₄Cl, the organic layer was separated and dried over Na₂SO₄. Pure methylpiperidine (2) was isolated via silica gel flash chromatography eluting with 5% MeOH/CH₂Cl₂. MS m/z: (M+206)

[0823] Step 2

[0824] N-benzyl-4-(4-chlorophenyl)-4-methylpiperidine:

[0825]FIG. 8c To a flask containing chlorobenzene (10 mL, excess) and methylpiperidine (0.42 g, 2.06 mmol, 2) was added aluminum trichloride (1.65 mL, 12.4 mmol). The reaction was heated to reflux for 24 hrs. Excess chlorobenzene was removed under reduced pressure and pure 3 was obtained via silica gel flash chromatography eluting with % EtOAc/hexane. MS m/z: (M+300)

[0826] Step 3

[0827] 4-(4-chlorophenyl)-4-methylpiperidine:

[0828]FIG. 8c To a cold (0° C.) solution of N-benzyl-4-(4-chlorophenyl)-4-methylpiperidine (3) (0.41 g, 1.4 mmol) in CH₂Cl ₂ was 1.1 equivalent of 1-chloroethylchloroformate. The reaction was then heated to reflux for 2 hrs. Excess solvent was removed and the residue was brought up into methanol. The mixture was refluxed for 2 hrs and excess methanol was removed under reduced pressure. Precipitation of the hydrochloride salt 4 by the addition of CH₂Cl₂ followed by filtration resulted in the quantitative isolation of the desired crystalline product 4 (100%, 0.34 9). MS m/z: (M+210)

[0829] Step 4

[0830] The compound was prepared by following the procedure for example 44, step 2, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-chlorophenyl)-4-methylpiperidine. MS m/z: (M+461)

EXAMPLE 330

[0831] The compound was prepared by following the procedure for example 199, but replacing the resultant compound of example 44 with the resultant compound of Example 329. MS m/z: (M+533)

EXAMPLE 331

[0832] Step 1

[0833] A mixture of epichlorohydrin (5.92 g, 64 mmol) and benzhydrylamine (11.7 g, 64 mmol) in MeOH (120 mL) was stirred under the protection of argon at room temperature for 48 hours. The mixture was then stirred at 50° C. for 72 hours. The reaction mixture was then stirred at room temperature for 72 hours. The reaction mixture was concentrated in vacuo and partitioned between EtOAc and H₂O. The aqueous layer was extracted with EtOAc (200 mL x 3), dried over MgSO₄ and concentrated in vacuo. Chromatographic purification on silica gel (CH₂Cl₂/MeOH =95/5) provided 10.0 g (65%) of 1-benzhydril-3-hydroxyazetidine. m/z 240 (m+1)

[0834] Step 2

[0835] A mixture 1-benzhydril-3-hydroxyazetidine (2.6 g, 11 mmol) and palladium hydroxide on active carbon (0.26 g, w/w 20%) in EtOH (40 mL) was shaken in hydrogenation parr under 60 psi for 24 hours. The reaction mixture was filtered through celite and concentrated under vacuum. Concentration in vacuo provided 0.75 (95%) 3-hydroxyazetidine. ¹H NMR (250 MHz, CD30D) 3.81-3.92 (2H, m), 4.14-4.25 (2H, m), 4.61-4.69 (1H, m).

[0836] Step 3

[0837] The compound 1-[3-(5,11-dihydro-7-(methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]azetidin-3-ol was prepared by following the procedure for example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 3-hydroxyazetidine. m/z 339 (m+l).

[0838] Step 4

[0839] To a mixture of morpholine N-oxide (0.028 g, 0.244 mmol), crushed molecular sieves (0.066 g) and Pr₄N+RO4 (0.01 g, 0.024 mmol) in CH₂Cl₂ was added the 1-[3-(5,11-dihydro-7-(methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]azetidin-3-ol (0.055 g, 0.16 mmol) under the protection of argon. The mixture was stirring over night at room temperature. The reaction mixture was filtered off through celite and concentrated under vacuum. Chromatographic purification on silica gel (CH₂Cl₂/MeOH=95/5 to 9/1) provided 0.033 g 1-[3-(5,11-dihydro-7-(methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]azetidin-3-one (60%) of the desired product. m/z 337 (m+1)

[0840] Step 5

[0841] To a solution of 1-[3-(5,11-dihydro-7-(methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]azetidin-3-one (0.06 g, 0.18 mmol) in THF (8 mL) was added dropwise a solution of 4-chlorophenyl magnesium bromide in diethyl ether (1.0 M, 0.27 mL) under the the protection of argon at 0° C. The reaction was stirred at room temperature for 1.5 hours and quenched by the addition of saturated aqueous NH₄OH (4 mL). The aqueous layer was extracted with EtOAc (10 mL×2), dried over MgSO4 and concentrated in vacuo. Chromatographic purification on silica gel (CH₂Cl₂/MeOH=95/5) provided 0.048 g 3-(4-chlorophenyl)-1-[3-(5,11-dihydro-7-(methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]azetidine (51%) m/z 449 (m+1)

EXAMPLE 332

[0842] Step 1

[0843] tert-Butyl 3-(4-chlorobenzoyl)-1-(2-aminoethyl) carbamate:

[0844]FIG. 10b tert-Butyl N-(2-aminoethyl) carbamate (1, 0.50 g g, 3.12 mmol) was added to the mixture of 4-chlorobenzoic acid chloride (0.547 g, 3.12 mmol) and Et₃N (1.74 mL, 12.5 mmol) in CH₂Cl₂ (20 mL) under the protection of argon. Stirring at room temperature for 2 hours. The reaction mixture was diluted with H₂O (25 mL), extracted with CH₂Cl₂ (50 mL×2), dried over MgSO₄ and concentrated in vacuo. Chromatographic purification on silica gel (CH ₂Cl₂/MeOH=95/5) to provide 0.86 g (2, 93%) of the desired product tert-Butyl 3-(4-chlorobenzoyl)-1-(2-aminoethyl) carbamate. MS m/z: (M+299).

[0845] Step 2

[0846] 1-(4-chlorobenzoyl)-1,2-ethylenediamine:

[0847]FIG. 10b Trifluoroacetic acid (7.5 mL) was added to the solution of tert-Butyl 3-(4-chlorobenzoyl)-1-(2-aminoethyl)carbamate (2, 0.86 g, 2.89 mmol) in CH₂Cl₂ (35 mL) at 0° C. Stirring at room temperature for 30 minutes. Concentration in vacuo provided 0.88 g (95%) of the desired product 1-(4-chlorobenzoyl)-1,2-ethylenediamine (3). MS m/z: (M+199).

[0848] Step 3

[0849] The compound was prepared by following the procedure for example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 1-(4-chlorobenzoyl)-1,3-propylenediamine. MS m/z: (M+465).

EXAMPLE 333

[0850] Step 1

[0851] 2-(4-Chlorophenyl)-1-bromoethylene:

[0852]FIG. 9c To a solution of AlCl₃ (1.96 g, 14.7 mmol) in anhydrous CH₂Cl₂ (50 mL), Borane-tert-butyl amine complex (2.57 g, 29.6 mmol) was added at 0° C. under argon protection, stirred for 10 minutes and clear solution was formed. 4-Chlorophenacyl bromide (1, 1.11 g, 4.91 mmol) in CH₂Cl₂ (5 mL) was added to the resulted mixture at 0° C. The reaction was stirred for 1.5 hours and then quenched by the addition of 0.1 N HCl (25 mL). The mixture was extracted with EtOAc (80 mL×3), dried over MgSO4 and concentrated in vacuo. Chromatographic purification on silica gel (Hexane/EtOAc=9:1) provided 0.85 g (84%) of 2-(4-chlorophenyl)-1-bromoethylene (2). MS m/z: (M+219).

[0853] Step 2

[0854] 2-(4-chlorophenyl)-1-(N-methyl)ethylamine:

[0855]FIG. 9c A mixture of 2-(4-chlorophenyl)-1-bromoethylene (2, 1.02 g, 4.62 mmol), EtOH (3 mL) and H₂NMe in H₂O (6 mL, 40% w/w) was heated at 135 0° C. over night. The mixture was cooled down to room temperature. The mixture was extracted with Et₂O (5 mL×2), dried over MgSO₄ and concentrated in vacuo. Chromatographic purification on silica gel (CH₂Cl₂/MeOH/NH₄OH=9/1/0.1) provided 0.61 g 2-(4-chlorophenyl)-1-(N-methyl)ethylamine (3, 79%). MS m/z: (M+170).

[0856] Step 3

[0857] The compound was prepared by following the procedure for example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 2-(4-chlorophenyl)-1-(N-methyl)ethylamine. MS m/z: (M+451).

EXAMPLE 334

[0858] Step 1

[0859] 3-(4-chlorophenyl)-1-N-methylaminopropane:

[0860]FIG. 9e A mixture of 3-(4-chlorophenyl)-1-bromoropane (1, 0.70 g, 3.73 mmol), EtOH (3 mL) and H₂NMe in H₂O (6 mL, 40% w/w) was heated at 135 0° C. overnight. The mixture was then cooled down to room temperature. The mixture was extracted with Et₂O (5 mL×2), dried over MgSO₄ and concentrated in vacuo. Chromatographic purification on silica gel (CH₂Cl₂/MeOH/NH₄OH=9/1/0.1) provided 0.5 g (76%) of 3-(4-chlorophenyl)-1-N-methylaminopropane (2). MS m/z: (M+189).

[0861] Step 2

[0862] The compound was prepared by following the procedure for example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 3-(4-chlorophenyl)-1-N-methylaminopropane. MS m/z: (M+450).

EXAMPLE 335

[0863] Step 1

[0864] 3-(4-chlorophenyl)-3-chloro-1-hydroxypropane:

[0865]FIG. 9d To 3,4′-Dichloropropylphenone (0.52 g, 2.53 mmol) in anhydrous MeOH (10 mL) at 0° C. under the protection of argon, NaBH₄ (0.23 g, 3.03 mmol) was added to the solution by several portions. The reaction was stirred under the same condition for 15 minutes. The mixture was warmed up to room temperature, stirred an additional 30 minutes, then concentration in vacuo. The residue was partitioned between EtOAc and H₂O. The aqueous layer was re-extracted with EtOAc (30 mL×2), dried over MgSO₄ and concentrated in vacuo. Chromatographic purification on silica gel (Hexane/EtOAc=(1/1) provided 0.52 g (99%) of 3-(4-chlorophenyl)-3-chloro-1-hydroxypropane. MS m/z: (M+205).

[0866] Step 2

[0867] The compound was prepared by following the procedure for example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 3-(4-chlorophenyl)-3-chloro-1-hydroxypropane. MS m/z: (M+481).

EXAMPLE 336

[0868] Step 1

[0869] 3-(4-chlorophenyl)-3-hydroxy-3-methyl-1-chloropropane:

[0870]FIG. 10a To 3,4′-Dichloropropylphenone (1, 1.10 g, 5.40 mmol) in anhydrous THF at 0° C. under the protection of argon, was added MeMgBr (2.50 mL, 7.35 mmol) dropwise at 0° C. The reaction was stirred at room temperature for an additional hour. The reaction was quenched by adding saturated aqueous NH₄Cl. The reaction was then extracted with Et₂O (60 mL×2), dried over MgSO₄ and concentrated in vacuo. Chromatographic purification on silica gel (Hexane/EtOAc=10/1) provided 1.0 g (85%) of 3-(4-chlorophenyl)-3-hydroxy-3-methyl-1-bromoropane (2). MS m/z: (M+219).

[0871] Step 2

[0872] 3-(4-chlorophenyl)-3-hydroxyl-3-methyl-1-N-methylaminopropane:

[0873]FIG. 10a A mixture of 3,3,3-(4-Chlorophenyl)-hydroxylmethyl-1-bromoropane (2, 1.04 g, 4.74 mmol), EtOH (5 mL) and H₂NMe in H₂O (10 mL, 40% w/w) was heated at 135 0° C. for 3 hours. The mixture was cooled down to room temperature. The mixture was extracted with Et₂O (5 mL×2), dried over MgSO₄ and concentrated in vauco. Chromatographic purification on silica gel (CH₂Cl₂/MeOH/NH₂OH=9/1/0.1) provided 1.01 g 3-(4-chlorophenyl)-3-hydroxyl-3-methyl-1-N-methylaminopropane (3, 99%). MS m/z: (M+214).

[0874] Step 3

[0875] The compound was prepared by following the procedure for example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 3-(4-chlorophenyl)-3-hydroxyl-3-methyl-1-N-methylaminopropane. MS m/z: (M+480).

EXAMPLE 345

[0876] Using the procedure of Example 45, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 1-azaxanthone, gives the desired compound.

EXAMPLE 346

[0877] Using the procedure of Example 45, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 1-4-azafluorene, gives the desired compound.

EXAMPLE 347

[0878] Using the procedure of Example 45, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 7-amino-1-azaxanthone, gives the desired compound.

EXAMPLE 348

[0879] Using the procedure of Example 45, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 4,5-diazafluorene, gives the desired compound.

EXAMPLE 349

[0880] Using the procedure of Example 45, but replacing 5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridin-5-one with 1-aza-7-nitroxanthone, gives the desired compound.

EXAMPLE 350 3-(4-chlorophenyl)-1-[3-(5,11-dihydro-7-(methoxy[1]benzoxepino[2,3-b]pyridin-5-ylidene)propyl]pyrolidine

[0881] Step 1

[0882] A mixture of 1-benzyl-3-pyrrolidinone (10.0 g, 57 mmol), di-tert-butyl dicarbonate (13.7 g, 63 mmol) and palladium on active carbon (2.5 g, w/w 20%) in MeOH was shaken in a Parr hydrogenation vessel (50 psi H₂) for 48 hours. The reaction mixture was filtered through celite and concentrated in vacuo. Chromatographic purification on silica gel (Hexane/EtOAc=1/1) provided 6.21 g 1-t-butoxycarbonyl-3-pyrrolidinone (59%). ¹H NMR (250 MHz, CDCl₃) 1.46 (9H, s), 2.57 (2H, t, J=7.8 Hz), 3.71-3.75 (4H, m)

[0883] Step 2

[0884] To a stirred solution of 1-t-butoxycarbonyl-3-pyrrolidinone (0.57 g, 3.23 mmol) in THF (10 mL) was added 4-chlorophenyl magnesium bromide (1.0 M, 5.2 mL) under the protection of argon at 0° C. The reaction was stirred at room temperature for 1 hour then quenched by the addition of saturated aqueous NH₄OH (8 mL). The aqueous layer was extracted with EtOAc (50 mL×2), dried over MgSO₄ and concentrated in vacuo. Chromatographic purification on silica gel (Hexane/EtOAc=3/1) provided 0.57 g 1-t-butoxycarbonyl-3-(4-chlorophenyl)-3-hydroxypyrolidine (60%). m/z 298 (m+l)

[0885] Step 3

[0886] To a stirred solution of 1-t-butoxycarbonyl-3-(4-chlorophenyl)-3-hydroxypyrolidine (0.335 g, 1.28 mmol) in CH₂Cl₂ (8 mL) was added trifluoroacetic acid (2 mL) at 0° C. slowly. The reaction was stirred at room temperature for 30 minutes and concentrated in vacuo. This provided 0.355 g 3-(4-chlorophenyl)-3-hydroxypyrolidine (100%) the desired product. m/z 198 (m+l)

[0887] Step 4

[0888] The titled compound was prepared by following the procedure for example 44 but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 3-(4-chlorophenyl)-3-hydroxypyrolidine. m/z 432 (m+l).

EXAMPLE 351

[0889] Step 1

[0890] 4-(4-chlorophenyl)-4-pyridine:

[0891]FIG. 10d To a solution of 4-bromopyridine (1, 1.94 g, mmol), 4-chlorophenylboronic acid (2, 1.56 g, mmol) and K₂CO₃ (2.76 g, 2.0 equiv) in ethanol/toluene (5 mL/100 mL) was added Pd(PPh₃)₃. The reaction was refluxed for 1 hr, cooled back down to RT and quenched with H₂O (15 mL). The reaction mixture was extracted with EtOAc and the organic layer was dried over Na₂SO₄. Pure 4-(4-chlorophenyl)-4-pyridine 2 (1.3 g, 68% yield) was isolated after silica gel flash column purification eluting with 50% EtOAc/hexane. MS m/z: (M+191).

[0892] Step 2

[0893] The titled compound was prepared by following the procedure for example 45, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 3-(4-chlorophenyl)-1-N-methylaminopropane. MS m/z: (M+456).

EXAMPLE 352

[0894] The compound was prepared by following the procedure for example 44, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-chlorophenyl)-4-pyridine. MS m/z: (M+442).

EXAMPLE 353

[0895] 5-(2-(N-(4-(4-Chlorophenyl)-4-hydroxycyclohexyl)-N-methyl)ethylidene)-5,11-dihydro-7-methoxy[1]benzoxepino[2,3-b]pyridine

[0896] The compound was prepared by the procedure of Example 57, step 3, but replacing 4-(4-chlorophenyl)-4-hydroxypiperidine with 4-(4-N-methyl-(4-chlorophenyl)-4-hydroxycyclohexylamin. Theis starting material can be prepared according to methods disclosed in Journal of Medicinal Chemistry, Vol. 15, No. 12, pp.1239-1243 (1972).

[0897] Examples 4-7,9-11, 13-16, 20, 80-82, 84, 87-88, 92-110, 112-113, 116, 119, 121, 124-127, 129, 136-137, 189, 193-195, 201, 202, 204, 206-210, 213-214, 216-217, 233, 236, 238-241, 243-247, 250-251, 257-259, 264-268, 270-272, 276-278, 282-287, 298-304, 305, 307-309, 313, 315, 327 and 337-344 shown in FIGS. 6 and 11 can be prepared by the schemes set forth in FIGS. 1-5, 7, 8A-8C, 9A-9E, 10A-10 d and by the procedures described above.

[0898] Those skilled in the art will be able to recognize, or be able to ascertain, using no more than routine experimentation, many equivalents to the specific embodiments of the invention described herein. Such equivalents are intended to be encompassed by the following claims. 

What is claimed:
 1. A method of treating a disease associated with aberrant leukocyte recruitment and/or activation, comprising administering to a subject in need thereof an effective amount of a compound represented by the following structural formula:

and physiologically acceptable salts thereof, wherein: n is an integer from one to about four; M is >NR², >CR¹R², —O—CR¹R²—O— or —O—H₂—CR¹R²—O—; The ring containing M is substituted or unsubstituted; q¹ is an integer, such as an integer from zero to about three; q² is an integer from zero to about one; R¹ is —H, —OH, —N₃, a halogen, an aliphatic group, a substituted aliphatic group, an aminoalkyl group, —O-(aliphatic group), —O-(substituted aliphatic group), —SH, —S-(aliphatic group), —S-(substituted aliphatic group), —OC(O)-(aliphatic group), —O—C(O)-(substituted aliphatic group), —C(O)O-(aliphatic group), —C(O)O-(substituted aliphatic group), —COOH, —CN, —CO—NR³R⁴, —NR³R⁴ or R¹ is a covalent bond between the ring atom at M and an adjacent carbon atom in the ring which contains M; R² is —H, —OH, an acyl group, a substituted acyl group, —NR⁵R⁶, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group, a substituted non-aromatic heterocyclic group, —O-(substituted or unsubstituted aromatic group) or —O-(substituted or unsubstituted aliphatic group); R³, R⁴, R⁵ and R⁶ are independently —H, an acyl group, a substituted acyl group, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group or a substituted non-aromatic heterocyclic group; or R¹ and R², R³ and R⁴, or R⁵ and R⁶ taken together with the atom to which they are bonded, form a substituted or unsubstituted non-aromatic carbocyclic or heterocyclic ring; Z is represented by:

wherein: X₁ is a bond, —O—, —S—, —CH₂—, —CH₂—CH₂—, —CH₂—S—, —S—CH₂—, —O—CH₂—, —CH₂—O—, —NRC—CH₂—, —CH₂—NR_(c)—, —SO—CH₂—, —CH₂—SO—, —S(O)₂—CH₂—, —CH₂—S(O)₂—, —CH═CH—, —NR_(c)—CO— or —CO—NRC—; R_(c) is —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group or a substituted benzyl group; and Ring A and Ring B are independently substituted or unsubstituted.
 2. The method of claim 1 wherein R¹ is —H, —OH, —N₃, —CN, a halogen, a substituted aliphatic group, an aminoalkyl group —O-(aliphatic group), —O-(substituted aliphatic group), —NR³R⁴ or is a covalent bond between the ring atom at M and an adjacent carbon atom in the ring which contains M; R² is —NR⁵R⁶, a substituted acyl group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, —O-(substituted or unsubstituted aromatic group); or R¹ and R² taken together with the atom to which they are bonded, form a substituted or unsubstituted non-aromatic carbocyclic or heterocyclic ring.
 3. The method of claim 1 wherein q¹ and q² are zero, and the compound is represented by the structural formula:


4. The method of claim 3 wherein M is >CR¹R².
 5. The method of claim 1 wherein q¹ is one and q² is zero, and the compound is represented by the structural formula:


6. The method of claim 5 wherein M is >CR¹R².
 7. The method of claim 1 wherein q¹ is one and q² two, and the compound is represented by the structural formula:


8. The method of claim 7 wherein M is >NR².
 9. The method of claim 1 wherein q¹ is one and q² is two, and the compound is represented by the structural formula:


10. The method of claim 9 wherein M is —O—CR¹R²—O— or —CH₂—CR¹R²—O—.
 11. The method of claim 9 wherein M is >NR² or >CR¹R²; and R¹ is a substituted aliphatic group or an aminoalkyl group.
 12. The method of claim 9 wherein M is >NR² or >CR¹R²; and R² is —O-(substituted or unsubstituted aromatic group).
 13. The method of claim 1 wherein Z is represented by the structural formula:

wherein: x₁ is —S—, —CH₂—, —CH₂—CH₂—, —CH₂—S—, —S—CH₂—, —O—CH₂—, —CH₂—O—, —NR_(c)—CH₂—, —CH₂—NR_(c)—, —SO—CH₂—, —CH₂—SO—, —S(O)₂—CH₂—, —CH₂—S(O)₂—, —CH═CH—, —NRC—CO—, a bond, —O—, or —CO—NRC—; R_(c) is —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group or a substituted benzyl group; and Ring A and Ring B are independently substituted or unsubstituted.
 14. The method of claim 13 wherein ring B is substituted para to the carbon atom of ring B that is bonded to X₁ in ring C, and Z is represented by the structural formula:

wherein R⁴⁰ is —OH, —COOH, —NO₂, halogen, aliphatic group, substituted aliphatic group, an aromatic group, a substituted aromatic group, —NR²⁴R²⁵, —CONR²⁴R²⁵, Q-(aliphatic group), Q-(substituted aliphatic group), —O-(aliphatic group), —O-(substituted aliphatic group), —O-(aromatic group), —O-(substituted aromatic group), an electron withdrawing group, —(O)_(u)—(CH₂)_(t)—C(O)OR²⁰, —(O)_(u)—(CH₂)_(t)—OC(O)R²⁰, —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²² or —(O)_(u)—(CH₂)_(t)—NHC(O)O—R²⁰; R²⁰, R²¹ or R²² are independently —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group or a non-aromatic heterocyclic group; or R²¹ and R²², taken together with the nitrogen atom to which they are bonded, form a non-aromatic heterocyclic ring; Q is —NR²⁴C(O)— or —NR²⁴S(O)₂—; R²⁴ and R²⁵ are independently —H, —OH, an aliphatic group or a substituted aliphatic group; u is zero or one; and t is an integer from zero to about
 3. 15. The method of claim 14 wherein R⁴⁰ is represented by —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²².
 16. The method of claim 15 wherein u is zero and t one to about three.
 17. The method of claim 15 wherein u is zero and t one to about three u is one and t is zero.
 18. The method of claim 15 wherein u and t are both zero.
 19. The method of claim 14 wherein R⁴⁰ is a aliphatic group that is substituted with —NR²⁴R²⁵ or —CONR²⁴R²⁵.
 20. The method of claim 14 wherein R⁴⁰ is —O-(aliphatic group) or —O-(substituted aliphatic group).
 21. The method of claim 14 wherein R⁴⁰ is —COOH.
 22. The method of claim 1 wherein X₁ is —CH₂—O—.
 23. A method of treating a disease associated with aberrant leukocyte recruitment and/or activation, comprising administering to a subject in need thereof an effective amount of a compound represented by the following structural formula:

and physiologically acceptable salts thereof, wherein: n is an integer from one to about four; M is >NR², >CR¹R², —O—CR¹R²—O— or —CH₂—CR¹R²—O—; The ring containing M is substituted or unsubstituted; R¹ is —H, —OH, —N₃ , a halogen, an aliphatic group, a substituted aliphatic group, an aminoalkyl group, —O-(aliphatic group), —O-(substituted aliphatic group), —SH, —S-(aliphatic group), —S-(substituted aliphatic group), —OC(O)-(aliphatic group), —O—C(O)-(substituted aliphatic group), —C(O)O-(aliphatic group), —C(O)O-(substituted aliphatic group), —COOH, —CN, —CO—NR³R⁴ ₁—NR³R⁴ or R¹ is a covalent bond between the ring atom at M and an adjacent carbon atom in the ring which contains M; R² is —H, —OH, an acyl group, a substituted acyl group, —NR⁵R⁶, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group, a substituted non-aromatic heterocyclic group, —O-(substituted or unsubstituted aromatic group) or —O-(substituted or unsubstituted aliphatic group); R³, R⁴, R⁵ and R⁶ are independently —H, an acyl group, a substituted acyl group, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group or a substituted non-aromatic heterocyclic group; or R¹ and R², R³ and R⁴, or R⁵ and R⁶ taken together with the atom to which they are bonded, form a substituted or unsubstituted non-aromatic carbocyclic or heterocyclic ring; Z is represented by:

wherein: X₁ is —S—, —CH₂—, —CH₂—CH₂—, —CH₂—S—, —S—CH₂—, —O—CH₂—, —CH₂—O—, —NR_(c)—CH₂—, —CH₂—NRc—, —SO—CH₂—, —CH₂—SO—, —S(O)₂—CH₂—, —CH₂—S(O)₂—, —CH═CH—, —NR_(c)—CO—, a bond, —O—, or —CO—NR_(c)—; R_(c) is —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group or a substituted benzyl group; and Ring A and Ring B are independently substituted or unsubstituted.
 24. The method of claim 23 wherein Z is represented by the structural formula:

wherein: X₁ is —S—, —CH₂—, —CH₂—CH₂—, —CH₂—S—, —S—CH₂—, —O—CH₂—, —CH₂—O—, —NR_(c)—CH₂—, —CH₂—NR_(c)—, —SO—CH₂—, —CH₂—SO—, —S(O)₂—CH₂—, —CH₂—S(O)₂—, —CH═CH—, —Nr_(c)—CO—, a bond, —O—, or —CO—NR_(c)—; R_(c) is —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group or a substituted benzyl group; and Ring A and Ring B are independently substituted or unsubstituted.
 25. The method of claim 24 wherein ring B is substituted para to the carbon atom of ring B that is bonded to X₁ in ring C, and Z is represented by the structural formula:

wherein R⁴⁰ is —OH, —COOH, —NO₂, halogen, aliphatic group, substituted aliphatic group, an aromatic group, a substituted aromatic group, —NR²⁴R²⁵, —CONR²⁴R²⁵ ₁ Q-(aliphqtic group), Q-(substituted aliphatic group), —O-(aliphatic group), —O-(substituted aliphatic group), —O-(aromatic group), —O-(substituted aromatic group), an electron withdrawing group, —(O)_(u)—(CH₂)_(t)—C(O)OR²⁰, —(O)_(u)—(CH₂)_(t)—OC(O)R²⁰, —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²² or —(O)_(u)—(CH₂)_(t)—NHC(O)O—R²⁰ R²⁰, R²¹ or R²² are independently —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group or a non-aromatic heterocyclic group; or R²¹ and R²², taken together with the nitrogen atom to which they are bonded, form a non-aromatic heterocyclic ring; Q is —NR²⁴C(O)— or —NR²⁴S(O)₂—; R²⁴ and R²⁵ are independently —H, —OH, an aliphatic group or a substituted aliphatic group; u is zero or one; and t is an integer from zero to about
 3. 26. A method of treating a disease associated with aberrant leukocyte recruitment and/or activation, comprising administering to a subject in need thereof an effective amount of a compound represented by the following structural formula:

and physiologically acceptable salts thereof, wherein: n is an integer from one to about four; R⁵⁰ and R⁵¹ are each, independently, —H,R⁵⁰ and R⁵¹ are each independently —H, an aliphatic group, a substituted aliphatic group, an aminoalkyl group, —NR³R⁴, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group, a substituted non-aromatic heterocyclic group, or a covalent bond between the nitrogen atom an adjacent carbon atom; R³ and R⁴are independently —H, an acyl group, a substituted acyl group, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group or a substituted non-aromatic heterocyclic group; Z is represented by:

wherein: X₁ is —S—, —CH₂—, —CH₂—CH₂—, —CH₂—S—, —S—CH₂—, —O—CH₂—, —CH₂—O—, —NR_(c)—CH₂—, —CH₂—NR_(c)—, —SO—CH₂—, —CH₂—SO—, —S(O)₂—CH₂—, —CH₂—S(O)₂—, —CH=CH—, —Nr_(c)—CO—, a bond, —O—, or —CO—NR_(c)—; R_(c) is —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group or a substituted benzyl group; and Ring A and Ring B are independently substituted or unsubstituted.
 27. The method of claim 26 wherein R⁵⁰ is a substituted aliphatic group; and R⁵¹ is —H, an aliphatic group or a substituted aliphatic group.
 28. The method of claim 27 wherein R⁵⁰ is a substituted aliphatic group bearing an aromatic substituent.
 29. The method of claim 27 wherein R⁵⁰ is a an aliphatic group which is substituted with a 4-chlorophenyl group.
 30. The method of claim 26 wherein Z is represented by the structural formula:

wherein: X₁ is —S—, —CH₂—, —CH₂—CH₂—, —CH₂—S—, —S—CH₂—, —O—CH₂—, —CH₂—SO—, —NR_(c)—CH₂—, —CH₂—NR_(c)—, —SO—CH₂—, —CH₂—SO—, —S(O)₂—CH₂—, —CH₂—S(O)₂—, —CH═CH—, —Nr_(c)—CO—, a bond, —O—, or —CO—NR_(c)—; R_(c) is —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group or a substituted benzyl group; and Ring A and Ring B are independently substituted or unsubstituted.
 31. The method of claim 30 wherein ring B is substituted para to the carbon atom of ring B that is bonded to X₁ in ring C, and Z is represented by the structural formula:

wherein R⁴⁰ is —OH, —COOH, —NO₂, halogen, aliphatic group, substituted aliphatic group, an aromatic group, a substituted aromatic group, —NR²⁴R²⁵, —CONR²⁴R²⁵, Q-(aliphqtic group), Q-(substituted aliphatic group), —O-(aliphatic group), —O-(substituted aliphatic group), —O-(aromatic group), —O-(substituted aromatic group), an electron withdrawing group, —(O)_(u)—(CH₂)_(t)—C(O)OR²⁰, —(O)_(u)—(CH₂)_(t)—OC(O)R²⁰, —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²² or —(O)_(u)—(CH₂)_(t)—NHC(O)O—R²⁰; R²⁰, R²¹ or R²² are independently —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group or a non-aromatic heterocyclic group; or R²¹ and R²², taken together with the nitrogen atom to which they are bonded, form a non-aromatic heterocyclic ring; Q is —NR²⁴C(O)— or —NR²⁴S(O)₂—; R²⁴ and R²⁵ are independently —H, —OH, an aliphatic group or a substituted aliphatic group; u is zero or one; and t is an integer from zero to about
 3. 32. A method of treating a disease associated with aberrant leukocyte recruitment and/or activation, comprising administering to a subject in need thereof an effective amount of a compound represented by the following structural formula:

or a physiologically acceptable salt thereof, wherein: M is CR¹R²; R¹ is —OH; R is 4-chlorophenyl; n is two; Z is represented by:

X₁ is —CH₂—O—; and R⁴⁰ is


33. A method of treating a disease associated with aberrant leukocyte recruitment and/or activation, comprising administering to a subject in need thereof an effective amount of a compound represented by the following structural formula:

or a physiologically acceptable salt thereof, wherein: M is CR¹R²; R¹ is —OH; R² is 4-chlorophenyl; n is two; Z is represented by:

X₁ is —CH₂—O—; and R⁴⁰ is —COOH.
 34. A method of treating a disease associated with aberrant leukocyte recruitment and/or activation, comprising administering to a subject in need thereof an effective amount of a compound represented by the following structural formula:

or a physiologically acceptable salt thereof, wherein: M is CR¹R²; R¹ is —OH; R² is 4-chlorophenyl; n is two; Z is represented by:

X₁ is —CH₂—O—; and R⁴⁰ is


35. A compound represented by the following structural formula:

and physiologically acceptable salts thereof, wherein: n is an integer from one to about four; M is >NR², >CR¹R², —O—CR¹R²—O— or —CH₂—CR¹R²—O—; The ring containing M is substituted or unsubstituted; R¹ is —H, —OH, —N₃, a halogen, an aliphatic group, a substituted aliphatic group, an aminoalkyl group, —O-(aliphatic group), —O-(substituted aliphatic group), —SH, —S-(aliphatic group), —S-(substituted aliphatic group), —OC(O)-(aliphatic group), —O—C(O)-(substituted aliphatic group), —C(O)O-(aliphatic group), —C(O)O-(substituted aliphatic group), —COOH, —CN, —CO—NR³R⁴, —NR³R⁴ or R¹ is a covalent bond between the ring atom at M and an adjacent carbon atom in the ring which contains M; R² is —H, —OH, an acyl group, a substituted acyl group, —NR⁵R⁶, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group, a substituted non-aromatic heterocyclic group, —O-(substituted or unsubstituted aromatic group) or —O-(substituted or unsubstituted aliphatic group); R³, R⁴, R⁵ and R⁶ are independently —H, an acyl group, a substituted acyl group, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group or a substituted non-aromatic heterocyclic group; or R¹ and R², R³ and R⁴, or R⁵ and R⁶ taken together with the atom to which they are bonded, form a substituted or unsubstituted non-aromatic carbocyclic or heterocyclic ring; Z is represented by:

wherein: X₁ is —S—, —CH₂—, —CH₂—CH₂—, —CH₂—S—, —S—CH₂—, —O—CH₂—, —CH₂—O—, —NR_(c)—CH₂—, —CH₂—NR_(c)—, —SO—CH₂—, —CH₂—SO—, —S(O)₂—CH₂—, —CH₂—S(O)₂—, —CH═CH—, —NR_(c)—CO—, a bond, —O—, or —CO—NR_(c)—; R_(c) is —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group or a substituted benzyl group; and Ring A and Ring B are independently substituted or unsubstituted.
 36. The compound of claim 35 wherein R¹ is —H, —OH, —N₃, —CN, a halogen, a substituted aliphatic group, an aminoalkyl group —O-(aliphatic group), —O-(substituted aliphatic group), —NR³R⁴ or R¹ is a covalent bond between the ring atom at M and an adjacent carbon atom in the ring which contains M; R² is —NR⁵R⁶, a substituted acyl group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, —O-(substituted or unsubstituted aromatic group); or R¹ and R² taken together with the atom to which they are bonded, form a substituted or unsubstituted non-aromatic carbocyclic or heterocyclic ring.
 37. The compound of claim 35 wherein q¹ and q² are zero, and the compound is represented by the structural formula:


38. The compound of claim 37 wherein M is >CR¹R².
 39. The compound of claim 35 wherein q¹ is one and q² is zero, and the compound is represented by the structural formula:


40. The compound of claim 39 wherein M is >CR¹R².
 41. The compound of claim 35 wherein q¹ is one and q² is two, and the compound is represented by the structural formula:


42. The compound of claim 41 wherein M is >NR².
 43. The compound of claim 35 wherein q¹ is one and q² is two, and the compound is represented by the structural formula:


44. The compound of claim 43 wherein M is —O—CR¹R²—O— or —CH₂—CR¹R²—O—.
 45. The compound of claim 43 wherein M is >NR²or >CR¹R²; and R¹ is a substituted aliphatic group or an aminoalkyl group.
 46. The compound of claim 43 wherein M is >NR²or >CR¹R²; and R² is —O-(substituted or unsubstituted aromatic group).
 47. The compound of claim 35 wherein Z is represented by the structural formula:

wherein: X₁ is —S—, —CH₂—, —CH₂—CH₂—, —CH₂—S—, —S—CH₂—, —O—CH₂—, —CH₂—O—, —NR_(c)—CH₂—, —CH₂—NR_(c)—, —SO—CH₂—, —CH₂—SO—, —S(O)₂—CH₂—, —CH₂—S(O)₂—, —CH═CH—, —Nr_(c)—CO—, a bond, —O—, or —CO—NR_(c)—; R_(c) is —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group or a substituted benzyl group; and Ring A and Ring B are independently substituted or unsubstituted.
 48. The compound of claim 47 wherein ring B is substituted para to the carbon atom of ring B that is bonded to X₁ in ring C, and Z is represented by the structural formula:

wherein R⁴⁰ is —OH, —COOH, —NO₂, halogen, aliphatic group, substituted aliphatic group, an aromatic group, a substituted aromatic group, —NR²⁴R²⁵, —CONR²⁴R²⁵, Q-(aliphqtic group), Q-(substituted aliphatic group), —O-(aliphatic group), —O-(substituted aliphatic group), —O-(aromatic group), —O-(substituted aromatic group), an electron withdrawing group, —(O)_(u)—(CH₂)_(t)—C(O)OR², —(O)_(u)—(CH₂)_(t)—OC(O)R²⁰, —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²² or —(O)_(u)—(CH₂)_(t)—NHC(O)O—R²⁰; R²⁰, R²¹ or R²² are independently —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group or a non-aromatic heterocyclic group; or R²¹ and R²², taken together with the nitrogen atom to which they are bonded, form a non-aromatic heterocyclic ring; Q is —NR²⁴C(O)— or —NR²⁴S(O)₂—; R²⁴ and R²⁵ are independently —H, —OH, an aliphatic group or a substituted aliphatic group; u is zero or one; and t is an integer from zero to about
 3. 49. The compound of claim 48 wherein R⁴⁰ is represented by —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²².
 50. The compound of claim 49 wherein u is zero and t one to about three.
 51. The compound of claim 49 wherein u is zero and t one to about three u is one and t is zero.
 52. The compound of claim 49 wherein u and t are both zero.
 53. The compound of claim 48 wherein R⁴⁰ is a aliphatic group that is substituted with —NR²⁴R²⁵ or —CONR²⁴R²⁵.
 54. The compound of claim 48 wherein R⁴⁰ is —O-(aliphatic group) or —O-(substituted aliphatic group).
 55. The compound of claim 48 wherein R⁴⁰ is —COOH.
 56. The compound of claim 35 wherein X₁ is —CH₂—O—.
 57. A compound of treating a disease associated with aberrant leukocyte recruitment and/or activation comprising administering to a subject in need thereof an effective amount of a compound represented by the following structural formula:

and physiologically acceptable salts thereof, wherein: n is an integer from one to about four; M is >NR², >CR¹R², —O—CR¹R²—O— or —CH₂—CR¹R²—O—; The ring containing M is substituted or unsubstituted; R¹ is —H, —OH, —N₃, a halogen, an aliphatic group, a substituted aliphatic group, an aminoalkyl group, —O-(aliphatic group), —O-(substituted aliphatic group), —SH, —S-(aliphatic group), —S-(substituted aliphatic group), —OC(O)-(aliphatic group), —O—C(O)-(substituted aliphatic group), —C(O)O-(aliphatic group), —C(O)O-(substituted aliphatic group), —COOH, —CN, —CO—NR³R⁴, —NR³R⁴ or R¹ is a covalent bond between the ring atom at M and an adjacent carbon atom in the ring which contains M; R² is —H, —OH, an acyl group, a substituted acyl group, —NR⁵R⁶, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group, a substituted non-aromatic heterocyclic group, —O-(substituted or unsubstituted aromatic group) or —O-(substituted or unsubstituted aliphatic group); R³, R⁴, R⁵ and R⁶ are independently —H, an acyl group, a substituted acyl group, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group or a substituted non-aromatic heterocyclic group; or R¹ and R², R³ and R⁴, or R⁵ and R⁶ taken together with the atom to which they are bonded, form a substituted or unsubstituted non-aromatic carbocyclic or heterocyclic ring; Z is represented by:

wherein: X₁ is —S—, —CH₂—, —CH₂—CH₂—, —CH₂—S—, —S—CH₂—, —O—CH₂—, —CH₂—O—, —NR_(c)—CH₂—, —CH₂—NR_(c)—, —SO—CH₂—, —CH₂—SO—, —S(O)₂—CH₂—, —CH₂—S(O)₂—, —CH═CH—, —Nr_(c)—CO—, a bond, —O—, or —CO—NR_(c)—; R_(c) is —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group or a substituted benzyl group; and Ring A and Ring B are independently substituted or unsubstituted.
 58. The compound of claim 57 wherein Z is represented by the structural formula:

wherein: X₁ is —S—, —CH₂—, —CH₂—CH₂—, —CH₂—S—, —S—CH₂—, —O—CH₂—, —CH₂—O—, —NR_(c)—CH₂—, —CH₂—NR_(C)—, —SO—CH₂—, —CH₂—SO—, —S(O)₂—CH₂—, —CH₂—S(O)₂—, —CH═CH—, —Nr_(c)—CO—, a bond, —O—, or —CO—NR_(c)—; R_(c) is —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group or a substituted benzyl group; and Ring A and Ring B are independently substituted or unsubstituted.
 59. The compound of claim 58 wherein ring B is substituted para to the carbon atom of ring B that is bonded to X₁ in ring C, and Z is represented by the structural formula:

wherein R⁴⁰ is —OH, —COOH, —NO, halogen, aliphatic group, substituted aliphatic group, an aromatic group, a substituted aromatic group, —NR²⁴R²⁵, —CONR²⁴R²⁵, Q-(aliphqtic group), Q-(substituted aliphatic group), —O-(aliphatic group), —O-(substituted aliphatic group), —O-(aromatic group), —O-(substituted aromatic group), an electron withdrawing group, —(O)_(u)—(CH₂)_(t)—C(O)OR²⁰, —(O)_(u)—(CH₂)_(t)—OC(O)R²⁰, —(O)_(u)—(CH₂)_(t)—C(O)—NR²¹R²² or —(O)_(u)—(CH₂)_(t)—NHC(O)O—R²⁰; R²⁰, R²¹ or R²² are independently —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group or a non-aromatic heterocyclic group; or R²¹ and R²², taken together with the nitrogen atom to which they are bonded, form a non-aromatic heterocyclic ring; Q is —NR²⁴C(O)— or —NR²⁴S(O)₂—; R²⁴ and R²⁵ are independently —H, —OH, an aliphatic group or a substituted aliphatic group; u is zero or one; and t is an integer from zero to about
 3. 60. A compound of treating a disease associated with aberrant leukocyte recruitment and/or activation comprising administering to a subject in need thereof an effective amount of a compound represented by the following structural formula:

and physiologically acceptable salts thereof, wherein: n is an integer from one to about four; R⁵⁰ and R⁵¹ are each, independently, —H, an aliphatic group, a substituted aliphatic group, an aminoalkyl group, —NR ³R⁴, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group, a substituted non-aromatic heterocyclic group, or a covalent bond between the nitrogen atom an adjacent carbon atom; R³ and R⁴ are independently —H, an acyl group, a substituted acyl group, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group, a substituted benzyl group, a non-aromatic heterocyclic group or a substituted non-aromatic heterocyclic group; Z is represented by:

wherein: X₁ is —S—, —CH₂—, —CH₂—CH₂—, —CH₂—S—, —S—CH₂—, —O—CH₂—, —CH₂—O—, —NR_(c)—CH₂—, —CH₂—NR_(c)—, —SO—CH₂—, —CH₂—SO—, —S(O)₂—CH₂—, —CH₂—S(O)₂—, —CH═CH—, —Nr_(c)—CO—, a bond, —O—, or —CO—NR_(c)—; R_(c) is —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group or a substituted benzyl group; and Ring A and Ring B are independently substituted or unsubstituted.
 61. The compound of claim 60 wherein R⁵⁰ is a substituted aliphatic group; and R⁵¹ is —H, an aliphatic group or a substituted aliphatic group.
 62. The compound of claim 61 wherein R⁵⁰ is a substituted aliphatic group bearing an aromatic substituent.
 63. The method of claim 61 wherein R⁵⁰ is a an aliphatic group that is substituted with a 4-chlorophenyl group.
 64. The compound of claim 60 wherein Z is represented by the structural formula:

wherein: X₁ is —S—, —CH₂—, —CH₂—CH₂—, —CH₂—S—, —S—CH₂—, —O—CH₂—, —CH₂—O—, —NR_(c)—CH₂—, —CH₂—NR_(c)—, —SO—CH₂—, —CH₂—SO—, —S(O)₂—CH₂—, —CH₂—S(O)₂—, —CH═CH—, —Nr_(c)—CO—, a bond, —O—, or —CO—NR_(c)—; R_(c) is —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group, a benzyl group or a substituted benzyl group; and Ring A and Ring B are independently substituted or unsubstituted.
 65. The compound of claim 64 wherein ring B is substituted para to the carbon atom of ring B that is bonded to X₁ in ring C, and Z is represented by the structural formula:

wherein R⁴⁰ is —OH, —COOH, —NO₂, halogen, aliphatic group, substituted aliphatic group, an aromatic group, a substituted aromatic group, —NR²⁴R²⁵, —CONR²⁴R²⁵, Q-(aliphqtic group), Q-(substituted aliphatic group), —O-(aliphatic group), —O-(substituted aliphatic group), —O-(aromatic group), —O-(substituted aromatic group), an electron withdrawing group, —(O)_(u)—(CH₂)_(t)—C(O)OR²⁰, —(O)_(u)—(CH₂)_(t)—OC(O)R²⁰, —(O)_(u)—(CH₂)—C(O)—NR²¹R²² or —(O)_(u)—(CH₂)_(t)—NHC(O)O—R²⁰; R²⁰, R²¹ or R²² are independently —H, an aliphatic group, a substituted aliphatic group, an aromatic group, a substituted aromatic group or a non-aromatic heterocyclic group; or R²¹ and R²², taken together with the nitrogen atom to which they are bonded, form a non-aromatic heterocyclic ring; Q is —NR²⁴C(O)— or —NR²⁴S(O)₂—; R²⁴ and R²⁵ are independently —H, —OH, an aliphatic group or a substituted aliphatic group; u is zero or one; and t is an integer from zero to about
 3. 66. A compound of treating a disease associated with aberrant leukocyte recruitment and/or activation comprising administering to a subject in need thereof an effective amount of a compound represented by the following structural formula:

or a physiologically acceptable salt thereof, wherein: M is CR¹R²; R¹ is —OH; R² is 4-chlorophenyl; n is two; Z is represented by:

X₁ is —CH₂—O—; and R⁴⁰ is


67. A compound of treating a disease associated with aberrant leukocyte recruitment and/or activation comprising administering to a subject in need thereof an effective amount of a compound represented by the following structural formula:

or a physiologically acceptable salt thereof, wherein: M is CR¹R²; R¹ is —OH; R² is 4-chlorophenyl; n is two; Z is represented by:

X₁ is —CH₂—O—; and R⁴⁰ is —COOH.
 68. A compound of treating a disease associated with aberrant leukocyte recruitment and/or activation comprising administering to a subject in need thereof an effective amount of a compound represented by the following structural formula:

or a physiologically acceptable salt thereof, wherein: M is CR¹R²; R¹ is —OH; R² is 4-chlorophenyl; n is two; Z is represented by:

X₁ is —CH₂—; and R⁴⁰ is 